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M.D. Servergazi State Hospital, Eye Clinic, Denizli/TURKEY The aim of this study was to present the clinical features of a patient with choroidal micrometastasis from breast cancer as a first manifestation of systemic involvement. A 49-year-old woman who underwent left radical mastectomy combined with adjuvant therapy for breast cancer presented with blurred vision in her left eye. The patient underwent detailed ophthalmologic examination, optical coherence tomography (OCT), fundus autofluorescence (FAF) imaging and fundus fluorescein angiography (FFA). Left fundus examination revealed a yellowish lesion with subretinal fluid at posterior pole involving the macula. OCT demonstrated serous retinal detachment and retinal pigment epithelium layer irregularity. Although FAF imaging showed speckled hypo-hyper autofluorescence and FFA revealed hyperfluorescent areas superior to the macula. Clinical findings were consistent with choroidal metastasis. Systemic scan revealed the metastases to choroid and adrenal gland. In conclusion, ocular imaging patterns might help us for differential diagnosis of microscopic choroidal metastases from other ocular pathologies. Keywords : Breast cancer, choroidal metastasis, fundus autofluorescence, optical coherence tomography