Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 80
VII) – High-tension Glaucoma.
Normal (Peak) (Low) Tension Glaucoma.
Posner-Schlossman Syndrome (Glaucomatocyclitic crisis).
Angle-closure Glaucoma.
Contents
A – High-Tension Glaucoma and Normal (Peak) Tension Glaucoma. Lack of correlation between intraocular
pressure and Low-tension glaucoma.
B - Posner-Schlossman Syndrome (Glaucomatocyclitic crisis).
C - Angle-closure Glaucoma.
D - Congenital and Infantile Glaucoma.
E - Morning glory syndrome.
VII - A- High-Tension Glaucoma and Normal (Peak) Tension Glaucoma. Lack of correlation
between intraocular pressure and Low-tension glaucoma.
Between our patients, we selected those who presented Glaucoma in at least one eye, and measured
their intraocular pressure on the first exam. We split these glaucoma patients in two groups:
- High-tension glaucoma (HTG) with intraocular pressure of 22 mmHg or higher, and
- Normal (Peak; Low) Tension Glaucoma (LTG) with intraocular pressure of 21 mmHg or less.
They were:
- From the 57 patients suspects of Glaucoma, with Cup/Disc ratio of 0.6 with Cup deepness 3 or 4
diopters or with Lamina Cribosa visibility grades 1, 2 or 3:
6 patients presented HTG and 51 patients presented LTG.
- From the 53 patients with Incipient Glaucoma, with Cup/Disk ratio of 0.7 with Cup deepness 3 or
4 diopters or with Lamina Cribosa visibility grade 3:
10 patients presented HTG and 43 patients presented LTG.
- From the 47 patients with Advanced Glaucoma with Cup deepness 3 or 4 diopters or with Lamina
Cribosa visibility grade 3 and:
- With Cup/Disk ratio of 0.8: 8 patients presented HTG versus 18 presented patients LTG;
- With Cup/Disk ratio of 0.9: 8 patients presented HTG versus 7 patients presented LTG;
- With Cup/Disk ratio of 1: 5 patients presented HTG versus 1 patient presented LTG (Table VII-1).
Patients with High-Tension Glaucoma and Normal (Peak; Low) Tension Glaucoma
Glaucoma
at the worst eye
Suspect
(Cup/Disk ratio=0.6)
Incipient
(Cup/Disk ratio=0.7)
Advanced
(Cup/Disk ratio=0.8)
Advanced
(Cup/Disk ratio=0.9)
Total of patients
Normal (Peak) Tension
Glaucoma
Intraocular pressure of 21
mmHg or smaller
High-tension Glaucoma
Intraocular pressure of
22 mmHg or bigger
57 (100%) 51 (89%) 6 (11%)
53 (100%) 43 (81%) 10 (19%)
26 (100%) 18 (69%) 8 (31%)
15 (100%) 7 (47%) 8 (53%)