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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 93
Scheme IX-2: Optic Nerve’s fibers atrophy with visibility of the Lamina Cribosa pores, caused by
the intraocular pressure higher than the Cerebrospinal Fluid pressure or the capillary arterial pressure at
the retina. This is the glaucomatous damage (glaucomatous Optic neuropathy). Whether the patient still
has no visual field loss verifiable by the physician's instrument, the patient with this glaucomatous
damage is wrongly classified as Normal (without glaucoma).
The pores visibility occurs with any excavation (cup) diameter, with deepness of three or four diopters
(maximum), seldom with only two diopters. The visibility of the Lamina Cribosa’s pores is caused
only by the glaucomatous Optic neuropathy. No one other sickness, condition or etiology causes the
visibility of the Lamina Cribosa’s pores.
Scheme III-2 (repeated here): Direct ophthalmoscopic view of Optic Nerve’s disk 0.7/3/3/0 (0.7 =
Cup-Disk diameter/ 3 = Cup depth/ 3 = Lamina Cribosa's pores perfectly visible / 0 = no border edema)
= Incipient Glaucoma.
This visibility of pores is not mandatory. In the children and teenagers the Optic Nerve's damage occurs
more easily and with lower intraocular pressure, and more frequently and accurately we saw their
Lamina Cribosa’s pores. In the patients that begin this damage over fifty years of age, the Optic Nerves
are more resistant to damage and hardly the laminar pores are visible, even in cups actually with glaucomatous
progression.
The visibility of the pores from the Lamina cribosa lessens very slowly: the excavations with progressive
damage, before treatment presented accurately visible sharp pores, gray dark, perfectly contrasting
with the white of the Lamina Cribosa surface. At the stationary cup due to the reduction of intraocular
pressure, after months or years the lamina cribosa turns cloudy, turning light gray, progressively
losing its pores’ sharpness. The pores can be visible for more than twenty years, if the intraocular
pressure does not reduce lower than 16 mmHg all the hours and all the days, or say, if the treatment is
insufficient.