Subjects and Methods: We retrospectively reviewed fifty four cases of nasal and paranasal sinus diseases invading the orbit. The medical charts were analyzed. The data considered for the study was age, sex, ocular presentation and associated systemic problems of the patients. The neuro-radiological results were correlated with the clinical picture. Results: The age range was from 6 to 85 years (mean 45.5). Male to female ratio was 3.5: 1. The initial clinical presentation was Proptosis (66.66%), rbance of vision (25.9%), ophthalmoplegia (11.11%), diplopia (9.26%) and ptosis (9.26%). 79.63% patients had inflammatory etiology and 20.4% had neoplastic lesions in the nasal and paranasal sinuses extending into the orbit.