PurposeWe present a case of transmuscular migration of a solid encircling silicone band through all four rectus muscles. ObservationsA 33-year-old male with high myopia presented with a progressively worsening subclinical peripheral rhegmatogenous retinal detachment in his left eye. An encircling silicone band (#240) was placed anterior to the equator. and 5-0 polyester sutures (Ethicon. https://www.learningepistemology.com/product-category/heel-balm/