Jornal de Oftalmologia Clínica e Experimental
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Suprachoroidal Hemorrhage with Delayed Rebleeding as the First Presentation of Bullous Pemphigoid Associated Acquired Hemophilia

Anthony Kwan Ho Mak, Jennifer Wei Huen Shum, Bonnie Nga Kwan Choy, Alex Lap Ki Ng and Jimmy Shiu Ming Lai

We report a case of phacoemulsification conversion complicated by suprachoroidal haemorrhage (SCH) and delayed rebleeding at day 5 postoperation, as the first presentation of bullous pemphigoid associated acquired hemophilia. This association has been reported sparingly in the past, and almost exclusively only in hematology literature. To the best of our knowledge, this is the first case of delayed SCH rebleed presenting in a patient with previously undiagnosed Acquired Hemophilia reported. Although exceedingly rare, acquired hemophilia leads to drastic complications and has a high mortality rate. Advice to allow early recognition and prevention of complications is summarized.