·AIM:To discuss the significance of fundus observation in patients with pregnancy induced hypertension(PIH).·METHODS:The prenatal and postpartum observation of fundus of patients with PIH were analyzed.·RESULTS:Among 599 patients,152 cases of normal fundus accounted for 25.4%,and 447 cases of fundus changes accounted for 74.6%.The rate of fundus change with mild preeclampsia,fundus change with severe preeclampsia,fundus change with eclampsia were 80.4%,98.8%,100%.12 cases of 69 cases with retino-pathy in phase Ⅲ,had retinal detachment.The incidence rate and severity of retinopathy was in positive correlation wth the degree of the disease in PIH.The higher the blood pressure,albuminuria,hematocrit,the higher the incidence rate of retinopathy.Eclampsia postpartum was related to severe gestational hypertension combined with retinopathy.·CONCLUSION:Fundus observation was of significance to judge the degree of the disease in PIH,make treatment protocol,prevent eclampsia postpartum and severe retinopathy.·