Background: We report a rare case in which metastatic choroidal tumor (presented as a total retinal detachment) in one eye and asymptomatic choroidal tumors of the other eye were found to be the initial clinical presentation of breast cancer. Clinical Presentation: We report a case in which a choroidal tumor presented as a total retinal detachment was found to be the initial clinical presentation of breast cancer. Conclusions: The importance of detailed history taking and careful assessment of patients presenting with ocular tumors, in order to accurately detect the primary tumor and decide on the proper treatment is highlighted in this case report.