This is a descriptive study of all of the patients with orbital complication of acute and chronic sinusitis presented in ENT and Ophthalmology department, Government Medical College Calicut, Kerala from January 2013 to September 2014. The purpose of my study is to evaluate clinical and radiological presentation,   outcome of treatment and post surgical complications of diagnosed case of orbital complications of acute and chronic sinusitis. Preseptal cellulitis is the most common complication in our study. Fungal sinusitis due to uncontrolled diabetes mellitus is the most common condition causing orbital complication in our study. Strict diabetic control, appropriate surgical and medical management and a vigilant follow up resulted in good outcome.