PMC3350295_01
The subject demonstrating a lightning burn to her left arm.
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fig1
A six-year-old girl from the Eastern Cape in South Africa presented with her mother to the Ophthalmology Unit at the Red Cross War Memorial Children's Hospital, with the complaint of painless, gradual loss of vision in her left eye (Figure 1). In the lightning incident, our patient sustained annular burns to the outer aspect of her right lower leg and left arm (Figures 1 and 2).
The exit wound on the right leg.
CRIM.OPHMED2011-724395.002.jpg
PMC3350295_01_CRIM.OPHMED2011-724395.002.jpg
fig2
In the lightning incident, our patient sustained annular burns to the outer aspect of her right lower leg and left arm (Figures 1 and 2). The left lens was densely cataractous precluding fundal visualisation (Figure 2) and had marked anterior subcapsular vacuoles.
A dense left cataract.
CRIM.OPHMED2011-724395.003.jpg
PMC3350295_01_CRIM.OPHMED2011-724395.003.jpg
fig3
General examination revealed scars to the skin of the right leg and left arm, as well as a small area of hypopigmentation on the cheek below her left eyelid (Figure 3).