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Aim: To determine the fundus changes and fetomaternal Outcomes in Pregnancy Induced Hypertension. Methods: This prospective studywas carried out in the department of Obstetrics and Gynaecology, Bebe Nanki Mother and Child Care Centre, Govt. Medical College, Amritsar. We enrolled a total of 100 patients considering inclusion and exclusion criteria which were as follows. All patients who fulfilled the diagnostic criteria of PIH was included in the study. Labour records were maintained according to the proforma and follow up was done for maternal and perinatal outcome. Results: In our study most of patients had eclampsia 33 (33%), 28 (28%) had gestational hypertension, 24 (24%) had pre eclampsia and 15 (15%) had severe preeclampsia. Out of 22 patients with complications of PIH were in the form of PPH in 4 (18.2%), Recurrent fits in 4 (18.2%), Coagulation Disorder in 2 (9.1%), Pulmonary Odema in 1 (4.5%), Renal Failure in 1 (4.5%), HELLP Syndrome in 2 (9.1%), ARDS in1 (4.5%), Aspiration Pneumonia in 2 (9.1%), Abruption in 5 (22.8%). In our study out of 28 patients of gestational hypertension only 1 patient was suffered from PPH. Out of 24 patients of preeclampsia, only 1 patient was suffered from pulmonary oedema. Out of 15 patients of severe preeclampsia, 6 patients were having maternal morbidity. 2 had PPH, 1 had renal failure, 1 had HELLP syndrome, 1 had coagulation disorder and 1 patient suffered from abruption. Out of 33 patients diagnosed as eclampsia, 14 patients had complications in the form of PPH (1 patient), recurrent fits (4 patients), coagulation disorders (1 patient), ARDS (1 patient), aspiration pneumonia (2 patients) and abruption (4 patients). In our study total maternal morbidity was to the extent of 22%. In our study male neonate constituted a significant larger population in total births, in live births, in IUD and in perinatal deaths. In our study still birth rate was found to be 198.01/1000 births and perinatal mortality was found to be 395.06/1000 live births. Conclusion: fundus evaluation in PIH is an important procedure to predict adverse maternal and fetal outcome. [ABSTRACT FROM AUTHOR]