Main aim of the study is to determine prevalence of fundus changes, association between the fundus changes and Blood Pressure, proteinuria, and severity of the disease in PIH. Patients with PIH of >36 weeks of gestation were selected, anterior segment of eye is evaluated with torch light and binocular loop. Fundus examination with direct ophthalmoscope and proteinuria done with dipstick method. All details were recorded in prescribed proforma, and data was compiled, results were analyzed by using chi square test. Out of 100 subjects fundus changes were seen in 24 (24%) with mean systolic and diastolic pressure was 168.16+_ 21.91/ 109.08+-16.15 mm Hg. Significant association between fundus changes and high proteinuria (p=0.003) , severity of disease(p=0.005). Ophthalmoscopy is a simple, non invasive tool in assessing the severity of the disease in cases of PIH and thus planning the line of management accordingly.