The visual prognosis in metastatic choriocarcinoma to the choroid has been poor. Most patients described prior to the 1970s died without any improvement in their vision. In the 2 cured patients, one's visual acuity was not reported,3 whereas the other's was 20/1000 due to scarring from the regressed tumor.4 Despite the relative afferent pupillary defect and the large tumor mass (12.4 mm), our case had an excellent visual outcome of 20/40, highlighting the importance of close and continued ophthalmic care. During chemotherapy, serial ultrasonography examinations were essential in showing the treatment response by documenting the decrease in tumor size. Ophthalmologists must be patient with the chemotherapy before considering surgical therapy, although surgical options should still be considered after treatment if appropriate. Close follow-up in conjunction with an oncologist is required.