{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:31:25Z","timestamp":1787841085535,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to describe a case of total hyphema and corneal blood staining (CBS) after Ahmed implant in a child with aphakic glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Observations:<\/jats:title>\n                    <jats:p>A 13-year-old girl presented with a history of aphakic glaucoma in the left eye, who was unresponsive to full topical, oral antiglaucoma, and CPC. Child was booked for Ahmed implant with ligation in the left eye. Surgery went smoothly without complication. Day 1 postoperative patient was having dispersed hyphema that increased gradually to reach total hyphema on day 5 with high intraocular pressure reach 48 mmHg. Then, the patient develop CBS. Patient was managed medically with a steroid and a cycloplegic agent in addition to an antiglaucoma as there was a risk of rebleeding with surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Importance:<\/jats:title>\n                    <jats:p>Vision-threatening complications are uncommon after Ahmed glaucoma valve (AGV) implantation, although few devastating postoperative complications may occur following the placement of an AGV in pediatric patients requiring further medical or surgical management. The exact mechanism of the bleeding is not clear but most likely from the entry site. Monitoring the patient after the hyphema to assess the need for surgical intervention in case of CBS is mandatory with near follow-up and serial anterior segment photo is advisable to compare between the visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_610_25","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T08:00:10Z","timestamp":1774857610000},"page":"S182-S187","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Clearing of Corneal Blood Staining after Total Hyphema Post a Noncomplicated Ligated Ahmed Glaucoma Valve Surgery"],"prefix":"10.4103","volume":"25","author":[{"given":"Sami","family":"Alshahwan","sequence":"first","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Department of Ophthalmology, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talal Waleed","family":"Aljudi","sequence":"additional","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Department of Ophthalmology, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaima Sulaiman","family":"Alharbi","sequence":"additional","affiliation":[{"name":"Majmaah University, College of Medicine, Ophthalmology Department, AlMajmaah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"R1-20260819","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1097\/00003226-199109000-00014","article-title":"Fluorescence of blood-stained cornea","volume":"10","author":"McDonnell","year":"1991","journal-title":"Cornea"},{"key":"R2-20260819","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1159\/000492612","article-title":"Corneal blood staining after complicated cataract surgery","volume":"9","author":"Krauthammer","year":"2018","journal-title":"Case Rep Ophthalmol"},{"key":"R3-20260819","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1001\/archopht.1985.01050050046014","article-title":"Corneal blood staining at low pressures","volume":"103","author":"Beyer","year":"1985","journal-title":"Arch Ophthalmol"},{"key":"R4-20260819","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1046\/j.1440-1754.1999.0390k.x","article-title":"Letters to the editor","volume":"35","author":"Sullivan","year":"1999","journal-title":"J Paediatr Child Health"},{"key":"R5-20260819","first-page":"4955","article-title":"First day postoperative evaluation after Ahmed valve implant surgery","volume":"58","author":"S\u00e1nchez-Pereda","year":"2017","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"R6-20260819","doi-asserted-by":"crossref","first-page":"274","DOI":"10.3928\/0191-3913-20050901-09","article-title":"Ahmed valve surgery for refractory pediatric glaucoma: A report of 52 eyes","volume":"42","author":"Chen","year":"2005","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"R7-20260819","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1097\/ICU.0b013e328323d519","article-title":"Tube shunt complications and their prevention","volume":"20","author":"Sarkisian","year":"2009","journal-title":"Curr Opin Ophthalmol"},{"key":"R8-20260819","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1097\/00061198-200112000-00005","article-title":"Prevention of early postoperative hypotony by partial ligation of silicone tube in Ahmed glaucoma valve implantation","volume":"10","author":"Kee","year":"2001","journal-title":"J Glaucoma"},{"key":"R9-20260819","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1136\/bjo.87.6.673","article-title":"The Armenian eye care project: Surgical outcomes of complicated paediatric glaucoma","volume":"87","author":"Hill","year":"2003","journal-title":"Br J Ophthalmol"},{"key":"R10-20260819","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/S0161-6420(00)00603-5","article-title":"Clinical evaluation and risk factors of time to failure of Ahmed glaucoma valve implant in pediatric patients","volume":"108","author":"Djodeyre","year":"2001","journal-title":"Ophthalmology"},{"key":"R11-20260819","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1038\/eye.2008.261","article-title":"Clinical outcomes after Ahmed valve implantation in refractory paediatric glaucoma","volume":"23","author":"Yang","year":"2009","journal-title":"Eye (Lond)"},{"key":"R12-20260819","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/S0002-9394(00)00473-6","article-title":"Ahmed glaucoma valve implant versus trabeculectomy in the surgical treatment of glaucoma: A randomized clinical trial","volume":"130","author":"Wilson","year":"2000","journal-title":"Am J Ophthalmol"},{"key":"R13-20260819","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0002-9394(98)00394-8","article-title":"Intermediate-term clinical experience with the Ahmed glaucoma valve implant","volume":"127","author":"Huang","year":"1999","journal-title":"Am J Ophthalmol"},{"key":"R14-20260819","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.ajo.2008.04.008","article-title":"Ahmed valve implantation with adjunctive mitomycin C and 5-fluorouracil: Long-term outcomes","volume":"146","author":"Alvarado","year":"2008","journal-title":"Am J Ophthalmol"},{"key":"R15-20260819","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1136\/bjo.56.8.589","article-title":"Corneal blood staining after hyphaema","volume":"56","author":"Brodrick","year":"1972","journal-title":"Br J Ophthalmol"},{"key":"R16-20260819","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S0039-6257(02)00317-X","article-title":"Management of traumatic hyphema","volume":"47","author":"Walton","year":"2002","journal-title":"Surv Ophthalmol"},{"key":"R17-20260819","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.jcjo.2011.08.004","article-title":"Conjunctival flap covering in the treatment of corneal blood staining","volume":"46","author":"Yang","year":"2011","journal-title":"Can J Ophthalmol"},{"key":"R18-20260819","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1111\/j.1442-9071.2006.01204.x","article-title":"Spontaneous resolution of corneal blood staining","volume":"34","author":"Fraser","year":"2006","journal-title":"Clin Exp Ophthalmol"},{"key":"R20-20260819","first-page":"239","article-title":"Gradual spontaneous resolution of corneal bloodstaining after anterior chamber irrigation for rebleeding secondary to traumatic hyphema","volume":"11","author":"Lin","year":"2018","journal-title":"Int Med Case Rep J"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_610_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:42:22Z","timestamp":1787838142000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_610_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,30]]},"references-count":19,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_610_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,30]]},"assertion":[{"value":"2025-10-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}