The blood pressure changes are sometimes reflected by changes in Intra-ocular pressure. We in the present study tried to evaluate the changes in IOP with the change in blood pressures in borderline hypertensive to known hypertensive patients graded according to recent ACC/AHA guidelines of hypertension in male and female patients visiting Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad. The study was carried in the Department of General Medicine and Department of Ophthalmology. A total of (n=222) patients were involved in the study. Subjects with the history of glaucoma, ocular hypertension, corneal abnormalities or those who underwent ophthalmic surgeries were excluded from the study. Systolic blood pressure was determined at the point at which the Korotkoff’s sounds become audible (first phase) whereas the diastolic BP was measured at the point at which the sounds suddenly become faint (fourth phase of Korotkoff’s sounds). Blood pressure measurements were determined by taking the mean value of three readings at 30 minutes interval. The IOP was measured in the Department of Ophthalmology, of both eyes with help of Goldmann applanation tonometer using 2% fluorescein eye drops by the same examiner to avoid any difference. In this study, we included a total number of (n=222) patients out of which males were (n=120) 54.54% and female were (n=102). The mean age of the individuals involved in the study was 52.25 ± 12.5 years. The overall mean IOP in males was 18.85 ±6.65 [95% CI 17.7 ± 20.0] similarly the overall mean IOP in females was 17.54 ± 5.83 [95% CI 16.4 -18.7]. The differences between the IOP of male and female were statistically insignificant. The Pearson's correlation coefficient was measured for each subgroup of hypertension among the male the all the subgroups showed the positive correlation of IOP with blood pressure and a strong correlation was shown by Hypertension stage II. In females, the correlations were also positive in all subgroups however in hypertension stage II showed weak to the moderate correlation coefficient. There is a strong positive correlation between the blood pressure and IOP, especially in males. Considering IOP as one of the screening means of glaucoma detection we would recommend that every hypertensive patient undergo IOP check regularly to prevent glaucoma.