There are three major causes of globe luxation: spontaneous, voluntary, and traumatic. Spontaneous luxation tends to occur in individuals with shallow orbits.2 Structural abnormalities—such as laxity of the supporting muscles and fascia as well as anomalous extraocular muscles—can predispose to spontaneous luxation.2–4 Pathologic processes that cause proptosis can predispose to luxation. The literature documents cases of luxation associated with orbital tumors, Graves' disease, cerebral gummas, histiocytosis X, and craniofacial dysostosis.1,5,6 Voluntary luxation occurs in individuals who learn to cause globe propulsion by using a digit or use of their extraocular muscles. Some patients use a Valsalva maneuver to luxate their globe(s) voluntarily. Traumatic luxation results from trauma to the globe or the surrounding bony orbit. It can occur from motor vehicle accidents or even relatively minor trauma to the face.7,8 Traumatic luxation can also occur from intentional eye gouging or even during the forceps-assisted delivery of a neonate.9,10