Objective: Orbital cellulitis is an infection of the soft tissues behind the orbital septum. This study aims to determine the presentation, management and outcome of cases of orbital cellulitis managed at a tertiary health facility in Ibadan, South-Western Nigeria. Materials and Methods: Prospective study of all cases of orbital cellulitis managed during a 7-year period was conducted. The patients’ demographics, clinical findings, management, outcome of treatment and complications were analyzed. Results: Sixty-three patients were managed during the period with mean age of 20.3 ± 20.1 years, and average duration of symptoms 7.9 days (Interquartile range, 4 days). The right eye was affected in 30 (47.6%) patients, while four (6.3%) patients had bilateral involvement. There was history of trauma in 19 (30.2%) patients whereas 13 (20.6%) patients had paranasal sinus infection. The corrected visual acuity at presentation was >6/18 in 30 (44.8%) eyes and 6/18 in 31 (46.3%) eyes and