A previously healthy 27-year-old male military soldier presented at the Emergency Room of the Armed Forces Hospital in Jazan with a 3-day – history of cyclic fever associated with chills, rigors, headache and blurred vision. One week earlier, before the onset of his symptoms , he mentioned that he was working in a near-by area in Jazan ,which is known to be endemic in malaria, and The patient had been in his usual state of health until 3 days before this admission, when fever and rigors were noticed. Also, he noticed darkening of the urine colour. On further discussion, he reported being bitten by a lot of mosquitos.  He did not report dyspnoea, chest pain, or cough. He had no GIT symptoms, he had no motor or sensory deficits, and denied any fits or loss of consciousness. The patient denied any bleeding orifices or skin rash. The patient did not smoke tobacco, use illicit drugs, or drink alcohol.The peripheral blood smear revealed a Plasmodium falciparum microgametocyte using Giemsa stain with parasitemia level of 6 %.The ophthalmology team was consulted: And on examination there was a decrease in acuity of vision of both eyes (right eye (6/60) and left eye (6/12), with marked impairment in his Colour vision of the red-green deficiency of 3/21 with Ishihara score for colour vision . Fundus examination showed pigmented para-venous chorioretinitis, macular whitening and black pigmentation on the retinal vessels mainly at the periphery.