Objective: To report a case of choroidal mass secondary to mucinous cystadenocarcinoma of ovary in a young woman. Method: A case report. Result: A 21-year-old woman presented with insidious painless, progressive, central scotoma of the right eye for 5 weeks. She was disease free for 9 years after she underwent right salpingo-oophorectomy for her mucinous cystadenocarcinoma of right ovary. She completed 6 cycles of chemotherapy regimen. On presentation, her visual acuity was counting finger in the right eye and 6/ 6 in the left eye. Both anterior segments were unremarkable. Fundus examination of the right eye showed multiple choroidal masses with the largest in the temporal to fovea. Generally, she was well. Her tumor markers were raised. Urgent Computed Tomography (CT) Scan of thorax, abdomen and pelvis showed multiple distance metastases. She was referred to the gynecology team. She was scheduled for chemotherapy. However, she defaulted the treatment. 3 months after that, her general condition deteriorated. She developed bilateral internal jugular vein thrombosis and massive right pleural effusion. She passed away due to that complication. Conclusion: Choroidal metastasis from primary ovary carcinoma is very rare. Ocular symptoms can be the first presenting features to a life-threatening condition.
Bartonella henselae is a recognized cause of neuroretinitis in cat scratch disease. Meanwhile, polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin changes (POEMS) syndrome with Castleman disease (evidence of lymph node hyperplasia), is a chronic debilitating condition that predisposes to various superimposed infections. B. henselae neuroretinitis implicated in POEMS syndrome has not been reported previously. A 34-year-old asymptomatic man was referred for an eye assessment. Examination showed visual acuity of 6/18 in the right eye and 6/24 in the left eye. On fundus examination, both eyes exhibited typical features of neuroretinitis (optic disc swelling and incomplete macular star). There was otherwise no vitritis or chorioretinitis. Serology for B. henselae revealed high immunoglobulin M (IgM) titer (1:96) indicative of acute disease, and positive immunoglobulin G (IgG) (1:156). He was treated with oral azithromycin for 6 weeks and a short course of oral prednisolone. Subsequently, the visual acuity in both eyes improved with resolution of macular star. However, both optic discs remained swollen.
Visual cognitive function is important in the construction of executive function in daily life. Perception of visual number form (e.g. Arabic digits) and numerosity (numeric magnitude) is of interest to cognitive neuroscientists. Neural correlates and the functional measurement of number representations are complex events when their semantic categories are assimilated together with concepts of shape and color. Color perception can be processed further to modulate visual cognition. The Ishihara pseudoisochromatic plates are one of the best and most common screening tools for basic red-green color vision testing. However, there has been little study of visual cognitive function assessment using such pseudoisochromatic plates. 25 healthy normal trichromat volunteers were recruited and studied using a 128-sensor net to record event-related electroencephalogram. Subjects were asked to respond by pressing numbered buttons when they saw the number and non-number plates of the Ishihara color vision test. Amplitudes and latencies of N100 and P300 event related potential components were analyzed from 19 electrode sites in the international 10-20 system. A brain topographic map, cortical activation patterns, and Granger causation (effective connectivity) were analyzed from 128 electrode sites. No significant differences between N100 event related potential components for either stimulus indicates early selective attention processing was similar for number and non-number plate stimuli, but non-number plate stimuli evoked significantly higher amplitudes, longer latencies of the P300 event related potential component with a slower reaction time compared to number plate stimuli imply the allocation of attentional load was more in non-number plate processing. A different pattern of the asymmetric scalp voltage map was noticed for P300 components with a higher intensity in the left hemisphere for number plate tasks and higher intensity in the right hemisphere for non-number plate tasks. Asymmetric cortical activation and connectivity patterns revealed that number recognition occurred in the occipital and left frontal areas where as the consequence was limited to the occipital area during the non-number plate processing. Finally, results demonstrated that the visual recognition of numbers dissociates from the recognition of non-numbers at the level of defined neural networks. Number recognition was not only a process of visual perception and attention, but was also related to a higher level of cognitive function, that of language.
Visual cognitive function is important to build up executive function in daily life. Perception of visual Number form (e.g., Arabic digit) and numerosity (magnitude of the Number) is of interest to cognitive neuroscientists. Neural correlates and the functional measurement of Number representations are complex occurrences when their semantic categories are assimilated with other concepts of shape and colour. Colour perception can be processed further to modulate visual cognition. The Ishihara pseudoisochromatic plates are one of the best and most common screening tools for basic red-green colour vision testing. However, there is a lack of study of visual cognitive function assessment using these pseudoisochromatic plates. We recruited 25 healthy normal trichromat volunteers and extended these studies using a 128-sensor net to record event-related EEG. Subjects were asked to respond by pressing Numbered buttons when they saw the Number and Non-number plates of the Ishihara colour vision test. Amplitudes and latencies of N100 and P300 event related potential (ERP) components were analysed from 19 electrode sites in the international 10-20 system. A brain topographic map, cortical activation patterns and Granger causation (effective connectivity) were analysed from 128 electrode sites. No major significant differences between N100 ERP components in either stimulus indicate early selective attention processing was similar for Number and Non-number plate stimuli, but Non-number plate stimuli evoked significantly higher amplitudes, longer latencies of the P300 ERP component with a slower reaction time compared to Number plate stimuli imply the allocation of attentional load was more in Non-number plate processing. A different pattern of asymmetric scalp voltage map was noticed for P300 components with a higher intensity in the left hemisphere for Number plate tasks and higher intensity in the right hemisphere for Non-number plate tasks. Asymmetric cortical activation and connectivity patterns revealed that Number recognition occurred in the occipital and left frontal areas where as the consequence was limited to the occipital area during the Non-number plate processing. Finally, the results displayed that the visual recognition of Numbers dissociates from the recognition of Non-numbers at the level of defined neural networks. Number recognition was not only a process of visual perception and attention, but it was also related to a higher level of cognitive function, that of language.