Background: Diabetic Retinopathy (DR) is a major microvascular complication of Diabetes Mellitus and a leading cause of preventable blindness worldwide. Early detection and timely intervention are essential to reduce vision loss. Aim: To study the prevalence of diabetic retinopathy among diabetic patients and identify associated risk factors. Methodology: A cross-sectional observational study was conducted on 200 diabetic patients attending the ophthalmology department. Fundus examination, visual acuity testing, HbA1c levels, duration of diabetes, and associated comorbidities were evaluated. Results: The prevalence of diabetic retinopathy was 35%, with 23% non-proliferative and 12% proliferative DR. Higher prevalence was noted in patients with >10 years duration of diabetes and HbA1c >8%. Hypertension and smoking were significant risk factors. Conclusion: Diabetic retinopathy is highly prevalent among longstanding uncontrolled diabetics. Regular screening, glycemic control, and lifestyle modification are crucial to prevent visual impairment. cessation should be strongly recommended to all fracture patients.