Eight patients with massive hemorrhagic choroidal and ciliary body detachment after surgical trauma leading to all signs of a beginning phthisis bulbi have been treated by means of silicone oil tamponade in conjunction with multiple subchoroidal drainage and vitrectomy. Almost complete reattachment of the retina and choroid was achieved in all eyes accompanied by improvement of visual function. However, hypotony was persistent in 3 eyes. Two eyes with postoperative hypotony worsened dramatically after silicone oil removal. After silicone refilling both eyes markedly recovered within 6 and 8 weeks.