Introduction: Pregnancy induced hypertension (PIH) is a disorder of blood pressure (BP) that arise because of the presence of pregnancy. This can have grave consequences for both mother and fetus. The purpose of the present study is to determine the prevalence of retinal changes in PIH and any association between the retinal changes and fetal outcomes. Aims: This study was undertaken to evaluate the role of fundoscopy changes for predicting adverse perinatal outcome in Pregnancy induced hypertension. Materials and methods: Study done on 100 patients group of 50 patients of pregnancy induced hypertension and 50 normotensive controls were selected from antenatal clinics and antenatal wards. The fundoscopic changes in the last week of delivery were used for correlation of fetal outcome in Pregnancy induced hypertension. Results: Pre-eclampsia was associated with high incidence of preterm delivery (60%), small for date infants (45%), low Apgar scores (73%), operative interference (37%), perinatal loss (33%) and poor fetal outcome (77%). Among 50 cases of 6 cases of preeclampsia had abnormal fundoscopic changes. Among the 6 cases, Grade I and Grade III had one patient none had Grade II changes, four had Grade IV changes. No correlation found between pre-eclampsia and fundoscopy. Original Research Article Conclusion: A satisfactory relation between decreased visual acuity and increase in hypertensive grade could not be elicited as none of the study group had visual acuity changes.