Ciliochoroidal effusion is defined as an accumulation of fluid in the suprachoroidal space. If is often associated with ocular trauma, intraocular surgery, ocular inflammation, and other hydrodynamic abnormalities. A rather rare clinical syndrome of combined ciliochoroidal effusion with rhegmatogenous retinal detachment has been characterized by decreased vision, ocular pain, uveitis, and marked hypotony. The case presented describes an 83-year-old male who pesented with this syndrome; especially noteworthy about this case is that a macular hole was the likely cause of the retinal detachment. The clinical presentation and medical and surgical management of this condition are discussed with special emphasis on the pathogenesis of ciliochoroidal effusion. Intraoperative photographs are included.