Objective To observe fundus lesions in postpartum women with pregnant hypertensive disorders by optical coherence tomography (OCT) combined with fundus examination. Methods Forty-eight patients with postpartum hypertensive disorders complicating pregnancy accepted eye examinations including visual acuity, refraction, slit lamp examination, fundus examination, OCT and fundus camera inspection. Results Of the 96 eyes in the 48 patients, 72 eyes (75.00%) were abnormal in OCT examination, among which 40 eyes (55.56%) showed neurosensory serous retinal detachment, 22 eyes (30.56%) had pigment epithelium and ellipsoidal zone change, 10 eyes (13.88%) had other changes as optic disc edema and retinal hemorrhage. Fundus examination revealed stageⅠ in 4 eyes (4.17%), stageⅡ in 12 eyes (12.50%) and stage Ⅲ in 80 eyes (83.33%). Rank correlation test of prepartrum pregnancy-induced hypertension syndrome(PIHS) classification and postpartrum fundus examination in the women with PIH revealed a positive correlation between the result of fundus examination and PIHS classification (C = 0.545, χ2 = 56.991, P = 0.000). There was no correlation between blood pressure grade of the PIH women at the time of postpartrum eye examination and the result of fundus examination (C = 0.117, χ2 = 2.633, P = 0.853). Fundus and OCT findings had a positive correlation (C =0.324, χ2 = 20.130, P = 0.000). Conclusions Postpartrum eye examination is very important for women with PIH. Fundus examination combined with OCT examination can more effectively reveal retinopathy of PHIS.