Ophthalmalogical manifestations of allergic fungal sinusitis are rather uncommon. If not identified and managed properly this could lead to disastrous consequences including blindness. This is a retrospective study involving 20 cases of allergic fungal sinusitis presented at Stanley Medical College hospital during 2009-2011. This study reveals that the commonest opthalmological manifestation was proptosis. Other ophthalmic manifestations in the descending order of frequency included epiphora, diplopia, opthalmoplegia and complete loss of vision. CT imaging from these patients revealed that all patients with orbital manifestations had erosion of lamina papyracea.