Sarcoidosis is one of the leading causes of inflammatory eye disease. Patients with ocular sarcoidosis can present with a wide range of clinical presentations and severity. This case demonstrates an unusual presentation of unilateral infiltration of the extra-ocular muscles, sparing the uveal tissues and lacrimal glands. This case highlights the importance of screening for ocular involvement in sarcoidosis, and to consider sarcoidosis in the differential for peri-orbital swelling and diplopia.