Purpose: To study prevalence of retinal microvascular abnormalities in patients with Chronic Kidney Disease(CKD) among diabetic population Methods: All known cases of Type II diabetes mellitus patients attending R.L.J. Hospital, Kolar between january and december 2011 were subjected to complete renal and ophthalmic evaluation. The diagnosis of CKD was done based on the presence of contracted kidney on abdominal ultrasonography and microalbuminuria. Ocular fundus examination was performed by an ophthalmologist. Results: A total of 2094 Type II diabetic patients were examined. Among them 920(44%) patients had CKD. Of these, 650(70.7%) patients had diabetic retinopathy. Among them, 575(88.5%) had Non Proliferative Diabetic retinopathy(NPDR), 75(11.5%) had Proliferative Diabetic retinopathy(PDR) , 167(25.7%) had Diabetic maculopathy, 74(11.4%) had Hypertensive retinopathy and 37(5.7%) had Age related macular degeneration. Among patients without CKD (1174), 152 had diabetic retinopathy (13%). Among them 130(85.5%) had NPDR, 22(14.5%) had PDR and 20(13%) had Diabetic maculopathy. Compared to patients without CKD, patients with CKD had higher prevalence of retinopathy(p__ampersandsignlt;0.0001) Conclusion: In our study, we found a high prevalence of retinal microvascular abnormalities in patients with CKD, which warrants for regular complete eye examinations in CKD population.