We read with interest the paper by Cazabon et al¹ on the important emerging problem of sudden visual loss after removal of silicone oil. We have seen a similar pattern of visual loss in our own patients, typically in the macula on detachments associated with giant retinal tears. We have identified 12 cases in two units (St Thomas’s, London, and Sunderland Eye Infirmary), but five of these clearly had onset of visual loss before oil removal (onset between 1 month and 5 months after oil insertion).² Results …