Background: Occurrence of Nonosseous, extraocular orbital tumors is quite uncommon. Knowledge of the clinical presentation and patient’s age helps to limit the differential diagnosis and to determine the appropriate imaging modality. Hence; we planned the present study to assess pain management of large orbital tumor with Intracranial Extension in Paediatric Patients. Materials & methods: The present study included evaluation of pain management of large orbital tumor with Intracranial Extension in Paediatric Patients. A total of 50 cases of large orbital tumors with Intracranial Extension were included in the present study. Complete demographic and clinical details of all the patients were obtained. We also obtained findings of radiographic investigations of all the patients. Final diagnosis was confirmed based on clinical, histopathological and radiologic findings. All the results were analyzed by SPSS software. Results: Among 50 paediatric patients included in the present study, 28 subjects were males while remaining were females. Retinoblastoma was the most common intra-orbital tumours with Extracranial extension in the present study, found to be present in 36 percent of the patients. This was followed by Dermoid tumour, inflammatory pseudo-tumour found to be present in 16 percent and 10 percent of the patients. Conclusion: Intra-orbital tumours in paediatric patients consist of a wide range of morphologic and clinical diversities. Therefore, a paediatrician must be aware of different tumours responsible for causing intra-orbital swellings.