Figure 1: Optical coherence tomography of patient’s progression. A) Full-thickness traumatic macular hole upon presentation. B) Large globule of silicone oil (arrowhead) which has become incorporated into the healing macular hole, 3 weeks after surgery. Note the shadowing of the underlying retina and RPE (arrow). C) Return of normal foveal architecture following aspiration of the oil globule from the macular hole, and repeat SO placement (10 weeks after initial surgery) D) Final OCT with closure of the macular hole, mild underlying outer retinal changes (8 months after initial trauma).