This young child is unable to look up in the right eye due to a mechanical entrapment of the inferior rectus muscle. He has a “white-eye” blowout fracture. Classic signs of this type of fracture are: diplopia, limitation on a gaze of which the direction is dependent upon the trapped extraocular muscle(s). The “white-eye” phenomenon refers to the lack of clinical evidence of soft tissue trauma, such as swelling, ecchymosis, or subconjunctival hemorrhage. Bradycardia, hypotension, headache, nausea, and vomiting are all culminations of the oculocardiac reflex that is more pronounced in children. Early surgical intervention is required in order to prevent necrosis of any entrapped muscles and subsequent visual impairment. This child uneventually had the muscle released with no complications thereafter. Clinicians should be aware of this condition and must not confuse it with a head injury.