A photo of a young boy, probably about 14 years old, who has a misalignment of his eyes. He is photographed in front of a blue screen and is trying to look directly upward. His left eye will not elevate normally. This is due to a past injury which he got from being hit in the eye with a soccer ball. He exhibits what is known as an ocular blowout fracture, causing him to have a double elevator palsy. He is wearing a blue soccer jersey with a black collar. He finds this gaze painful and has an expression of worry on his face.