Hypertensive disease of pregnancy (HES) in Peru is one of the main causes of maternal and fetal morbidity and mortality. It is a multifactorial pathology that results in multisystemic compromise, one of the affected organs is that of vision, ophthalmological changes in EHE are related to the severity and time of evolution of hypertension, if the patient does not receive timely care, it may refer in irreversible visual disturbances. Objective: To identify the ophthalmological changes associated with EHE and establish their relationship with the severity of the condition. Material and methods: 47 women who live above 3,800 meters above sea level (m.s.n.m) were included, with a diagnosis of EHE who were treated in the gynecology service of Hospital III Juliaca EsSalud, in the period from July 2018 to January 2019, of which 13 patients were evaluated in the ophthalmology service of the mentioned hospital, where biomicroscopy and fundoscopy were performed. Results: A higher frequency was found between 18-34 years, all patients had gestations greater than 34 weeks, 6,4% had a history of hypertensive disease of pregnancy; the most frequent symptoms were headache, lower limb edema. 27,7% of the patients with hypertensive disease of pregnancy were evaluated by ophthalmology, finding that 61.5% of the patients did not present hypertensive retinopathy, 7.7% grade I according to the Keith-Wegener-Baker classification, 15,4% grade II and 15,4% grade III. Conclusions: The study found a statistically significant correlation between the degree of severity of the hypertensive disease of pregnancy and the degree of severity of the hypertensive retinopathy. The fundus allows the severity of the condition to be identified, the ophthalmological evaluation helps to make decisions about the treatment and follow-up of patients to avoid blindness due to EHE. Keywords: Hypertensive disease of pregnancy, hypertensive retinopathy, fundus.