Aim of our study is to study the various ocular manifestations and management in hypertensive patients. This was retrospective interventional study conducted over a period of 5 years from January 2016 to December 2020.All patients of all age group having primary and secondary hypertension, referred from physicians for screening were included. Patients with associated diabetes mellitus were excluded.421 patients who presented to our retina clinic underwent detail ocular and systemic examination. BCVA, slit lamp examination, fundus examination, B scan, OCT, FFA and documentation done in all cases. Patients presented with various ocular manifestations were managed based on the clinical status. Consent was taken for the management. Patients with ischemic retina showed poor outcome, patients with early presentation showed good outcome. Hypertension is one comorbidity which is responsible for eye problems, need frequent screening, fundus examination is non-invasive procedure which helps in detecting the vascular changes early.