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

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(Cup/Disk ratio=1)<br />

<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 81<br />

6 (100%) 1 (17%) 5 (83%)<br />

Total 157 (100%) 120 (76,4%) 37 (23,6%)<br />

Table VII-1: High-Tension and <strong>Normal</strong> (Peak) Tension Glaucoma at first exam, between the patients<br />

with Suspect, Incipient and Advanced Glaucoma.<br />

From this Table VII-1 we conclude that from all the glaucoma patients, as increase their damage,<br />

there are decreasing quantities of patients, from 57 patients Suspects of Glaucoma, to 53 patients<br />

with Incipient Glaucoma, and to 26 (Cup/Disk ratio=0.8) and 15 (Cup/Disk ratio=0.9) and 6<br />

(Cup/Disk ratio=1) patients with Advanced Glaucoma.<br />

We conclude that as increase their glaucomatous damage (glaucomatous Optic neuropathy),<br />

also increase the percentage of patients with high-tension glaucoma (intraocular pressure of 22<br />

mmHg or more), from Suspects from Glaucoma with 11%, to Incipient Glaucoma with 19%, and to<br />

Advanced Glaucoma with 31% and 53% and 83%. Simultaneously, decrease the patients with <strong>Normal</strong><br />

(Peak; Low) Tension Glaucoma, from 89%, to 81%, to 69%, to 47% and to 17%.<br />

We conclude that the patients with <strong>Normal</strong> (Peak; Low) Tension Glaucoma far exceeded those<br />

with High-Tension Glaucoma in almost all categories. In the patients Suspects of Glaucoma (89% of<br />

LTG versus 11% of HTG); in the patients with Incipient glaucoma (81% of LTG versus 19% of HTG);<br />

and in the patients with Advanced Glaucoma Cup/Disk ratio=0.8 (69% of LTG versus 31% of HTG).<br />

Only in the Advanced Glaucomas Cup/Disk ratio=0.9 and 1, the High-tension Glaucomas were<br />

more frequent than the <strong>Normal</strong> (Peak; Low) Tension Glaucomas.<br />

We conclude that the absolute majority (76,4%) of all glaucoma patients have their high intraocular<br />

pressures damage at other hours far from the medical office, because on the office examination<br />

their intraocular pressures are low (Intraocular pressure of 21 mmHg or smaller), or “normal”.<br />

Thus, the physicians denominate them as “<strong>Normal</strong> tension Glaucoma” or “Low-Tension Glaucoma”.<br />

They indeed are Peak Tension Glaucomas.<br />

Similar result was found on the Beijing Eye Study 2006, which included 3251 subjects: Mean age<br />

was 60.4+/-10.0 years (range, 45-89 years). Glaucoma was defined by a glaucomatous appearance of<br />

the optic disc. More than 80% of the glaucoma subjects had an intraocular pressure measurement<br />

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