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

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 96<br />

Scheme IX-3: Optic Nerve’s fibers atrophy and visibility of the Lamina Cribosa's pores with simultaneous<br />

Edema of the remaining Optic Nerve’s borders, caused by the higher pressures alternation:<br />

Some hours the higher is the intraocular pressure, and some hours the higher is the Cerebrospinal<br />

Fluid pressure.<br />

We conclude that the intraocular and the Cerebrospinal <strong>Fluids</strong>’ pressures rises occurred at different<br />

hours, in around 39% of the patients with <strong>Normal</strong> (Peak) Tension Glaucoma.<br />

Glaucoma together with Cerebrospinal Fluid <strong>Hypertension</strong> caused by caffeine: On January, 2008,<br />

we had a 57 year-old artisan, 5 children, Mulatta, with European, Indian and Black ancestors. She was<br />

1.55 meters (5 feet and 1 inch) tall, weighting 79 kilograms (174 pounds). She had suffered for more<br />

than 20 years of Asthma, backaches, ischemic coronary disease, and chronic high-pressure glaucoma.<br />

Although the anti-glaucomatous eye drops, she was feeling daily aches on her eyes and on her back,<br />

medicated with caffeinated analgesics. Her blood glucose was above healthy limits. She was taking<br />

some 10 daily medications, besides the homeopathy. She daily drank coffee 300 milliliters (10 fluid<br />

ounces), some glasses of green tea and caffeinated cola. At her ophthalmological tonometry, we found<br />

intraocular pressures of 20 mmHg in both eyes, and On direct ophthalmoscopy she presented right and<br />

left Optic Nerves’ cups with 0.8/3/2/0.5 and 0.7/4/2/0.5 (cup diameter/ cup depth/ lamina cribosa’s<br />

pores visibility/ borders edema), which configures simultaneous glaucoma and Cerebrospinal Fluid<br />

<strong>Hypertension</strong> in both eyes.<br />

We taught her to stop all caffeine: in medications, coffee, tea and sodas. We changed her eye drops.<br />

She disappeared from our office. After 5 months she came again to change her eyeglasses. She was<br />

almost entirely improved or cured from all those ailments, including no more asthma crisis, with exception<br />

of the restricted movements to bend down from her back. Her Optic disks show the same cups of<br />

before, with reductions of the lamina cribosa’s pores visibility and the borders edemas, which became<br />

difficult to measure (0.8/3/1/0.25? and 0.7/3/1/0.25?). She had reduced or stopped most of those old<br />

medications. Her eyes reduced their intraocular pressures to 16 and 18 mmHg right and left eyes. She<br />

was weighting only 74.5 kilograms (164 pounds), a reduction of 4.5 kilograms without any specific<br />

therapy, and both she and her husband were happy about the caffeine eschew. She only came back because<br />

she needed new eyeglasses, or we did not see her again: the cured patient does not return.

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