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Orbital cellulitis is a potentially life-threatening and an uncommon emergency condition in children. There are little published data from incidence and prevalence in the developing country. This study was done to identify incidence, etiology and management of orbital cellulitis in children from two service hospitals in east and west coast of India. Methods : The two multispecialty service hospitals cater tertiary level care to dependant population with 80700 children between ages 1 month to 12 years. This study was a 2 years retrospective observational study using hospital based electronic information system and electronic case records from Jan 2017 to Dec 2018 between ages of 1 month to 12 years. Results : A total of 15 children with orbital cellulitis were included in the study giving incidence of 9.29 per 100000 in children <12 years age in our dependant population. The gender ratio was 2;1. 60% children had a preceding upper respiratory tract infection, 20% had furunculosis on face and 13 % had previous trauma to the face. Only in 3(20%) children, organisms were isolated and all grew Methicillin sensitive staphylococcus aureus(MSSA). All children were started on intravenous antibiotics as per unit policy. 6(40%) children required admission to Pediatric Intensive Care Unit (PICU) and surgical treatment was required in 2 (13%). All patients recovered with good outcome. Conclusion: The annual incidence of orbital cellulitis in our dependant population was 9.29 per 100000 per year. In children, it commonly follows upper respiratory infection or furunculosis of the face. Intravenous antibiotics and surgical management yields optimum result.