A highly sensitive monolithic optical receiver, applicable in optical fiber and wireless communication is presented. The proposed chip is capable of processing data rates of up to 10  Mb  /  s and offers compatibility to standard CMOS logic by creating full 3.3-V output swing. The photodetector of the system is carried out as a large-area fully integrated avalanche photodiode with a diameter of 800  μm and a high responsivity to red light with a wavelength of 675 nm. The receiver features pseudo differential signal processing with offset cancellation feedback to achieve desensitization to background light irradiation usually appearing with optical wireless communication. Additionally, common-mode feedback was implemented to prevent pulse width distorted output signals. Measurements at 2.5, 5, and 10  Mb  /  s reveal high sensitivities of −50.4, −47.65, and −42.7  dBm, respectively, for BER  <  ^{10  −  9} in dark conditions. For the design, a 0.35-μm CMOS process was chosen.