The term orbital hypertelorism denotes “widely apart orbits.” This may also be associated with the abnormal orientation of the orbits in terms of the vertical position (dystopia). This deformity may be seen unilaterally or bilaterally. They may present as symmetric or asymmetric and can manifest in a variety of craniofacial conditions. The treatment is primarily carried out for aesthetic reasons. This paper emphasizes on the current understanding of this condition