[Expulsive retinal hemorrhage. Secondary treatment by vitreoretinal surgery]

Expulsive hemorrhage is a catastrophic complication of intraocular surgery that can result in total loss of vision. Patients with massive hemorrhagic choroidal detachment were treated by vitrectomy and silicone oil or gas tamponade. A reattachment of the retina was achieved with stabilization of visual function. Properly timed drainage of the choroidal fluid components with pars plana vitrectomy and silicone or gas injection is a useful approach in these disorders and may salvage useful vision in complicated cases.