J Korean Ophthalmol Soc > Volume 48(12); 2007 > Article
Journal of the Korean Ophthalmological Society 2007;48(12):1694-1698.
DOI: https://doi.org/10.3341/jkos.2007.48.12.1694    Published online December 31, 2007.
Bell's Phenomenon and Conjunctival Injury in Screening Examination for Retinopathy of Prematurity.
Sung Who Park, Ji Eun Lee, Hee Young Choi, Boo Sup Oum
Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. jlee@pusan.ac.kr
미숙아망막병증 검사시의 벨 현상과 결막손상의 상관관계
박성후,이지은,최희영,엄부섭
Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea
Correspondence:  Ji Eun Lee, M.D.
Abstract
PURPOSE
Bell's phenomenon (BP) was known not to be common in premature babies. If manifested, it may be detected on screening examinations for retinopathy of prematurity (ROP), indicating that conjunctival injury may have occurred. We studied correlations with BP and conjunctival injuries. METHODS: Ninety-two eyes of 46 premature babies, ranging from 36 to 38 weeks of gestational age, underwent screening examination for ROP. Rotation of the eyeball was evaluated with an inserted speculum. After observing temporal and nasal ora serrata with indentation, conjunctiva was examined for any possible damage. RESULTS: BP was observed in 50 of 92 subjects (54%). Notable conjunctival hemorrhage was found in 7 of 50 eyes (14%) with BP and in 2 of 42 eyes (5%) without BP. Stronger BP is correlated with severe injury to the conjunctiva (p<0.001). CONCLUSIONS: Bell's phenomenon (BP) may manifest in screening examinations for ROP. Manifestations of BP are related to conjunctival injury.
Key Words: Bell's phenomenon;Retinopathy of prematurity


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