Objective: Review of orbital symptoms patients had been treated in ENT Department of Cho Ray Hospital to determine the distribution of etiology, clinical symptoms, lesions origin and location by imaging diagnosis. Methods: This was a cross-sectional study undertaken at ENT Department of Cho Ray Hospital from March 2012 to March 2013, 17 orbital symptoms patients were enrolled in the study. All of 17 patients were examinated by otorhinolarygologist, ophthalmologist and imaging diagnosis. Results: The age distribution of the 17 patients exhibited the peak at 50 to 60 years, 02 oldest cases are 85 and 81 years old. Unilateral ptosis and ophthalmoplegia are the most common clinical features at presentation in 15 patients (88,2 percent), among of the cases : 10 visual loss, 05 blind. 10 cases (58,8 percent) proptosis. 12 (70,5 percent) patients were determined diabetes, 9 patients (53 percent) had been chronic paranasal_sinusitis. Imaging diagnosis: about 70,5 percent (12/17) patients have mycosis inflammatory lesion in posterior ethmoid sinus, sphenoid sinus, superior orbital fissure, orbital apex. 01 cases cavernous sinus thrombosis hematoma, 02 case sphenoid tumor lesion, 02 case carotid cavernous aneurysm fistula. Treatment: endoscopy decompression surgery 09 cases, biopsy surgery 02 cases, 02 cases transcatheter arterial embolization by DSA, 04 cases medical treatment including use of steroid. Conclusion : Orbital symptoms are the most severe complication of ENT disorders and difficulty recovery. Orbital symptoms have been described previously as a orbital apex, cavernous sinus syndrome (ophthalmoplegia, ptosis, visual loss), involving damage to the oculomotor nerve (III), trochlear nerve (IV), abducens nerve (VI), ophthalmic branch of the trigemial nerve (VI), association with optic nerve dysfunction. It may be caused by inflammatory, infectious, neoplastic, iatrogenic! trauma, or vascular processes. The aim of treatment to decrease mortality rate and prevent the severe complication due to central failure. Prognotic treatment to visual recovery is difficult.