Patient: 53 years of age, female, BCVA sc 1/10 at OD, -13.0 dpt -1.75/12°=0.5 at OS. Ocular Medical History: high myopia in both eyes, in 2010 in OD macular hole with central retinal detachment, vitrectomy with silicone oil tamponade; in 2013 removal of silicone oil tamponade. General Medical History: empty. Main complaint: progressive visual loss at OD. Purpose: to report the visualization of silicone oil droplets in the macula of a patient 3 years after surgical removal of the main tamponade. Methods: Colour fundus photography, Spectralis OCT (Heidelberg Engineering) Findings: SD-OCT in 2010: depicting staphyloma posticum with retinal schisis and macular hole with central retinal detachment. SD-OCT in 2013: showing no retinal detachment, thickened retina (800µm) with multiple round particles within the macular retina. Colour fundus photography in 2013: anatomically no retinal detachment, parapapillary atropy in high myopia. Discussion: Mrejen S et al (1) reported the visualization of silicone oil in the vitreous cavity, optic nerve, and retina of a patient 11 years after surgical removal of the main tamponade. He suggested, that silicone oil droplets in the retina and optic nerve head may be associated with the patient's otherwise unexplained progressive visual loss. Literature: (1) Mrejen S, Sato T, Fisher Y, Spaide RF. Intraretinal and intra-optic nerve head silicone oil vacuoles using adaptive optics. Ophthalmic Surg Lasers Imaging Retina. 2014 Jan-Feb;45(1):71-3.