A 78-year-old Caucasian woman presented with pain in Barrel Bag her right and only eye that was worse on abduction.Her history was significant for a choroidal melanoma affecting her left eye for which she underwent an orbital exenteration 12 years previously.Computed tomography and magnetic resonance imaging of the right orbit identified a mass lesion affecting the medial rectus, suspicious for metastatic melanoma.A histopathological diagnosis Full Sofa Sleeper of metastatic melanoma was subsequently made following biopsy of the right medial rectus.