BACKGROUND The close proximity of the orbit and the paranasal sinuses, both of which share more than two-thirds of common walls makes the orbit too susceptible to infections spreading from the paranasal sinuses. In any case of proptosis indicating an orbital tumour, extension from a PNS lesion should be ruled out. MATERIALS AND METHODS The study was a retrospective descriptive study. Data taken from the patient's medical record during the period of July 2014-June 2017. A total of 32 cases of proptosis were studied all of which were secondary to paranasal sinus pathology. These cases were subject to routine clinical examination and investigations including CT and MRI scan. Histopathological diagnosis was obtained by biopsy in appropriate cases.