Background: A condition known as prediabetes occurs when some but not all of the diagnostic requirements for diabetes are satisfied. A retinal vascular condition that develops as a side effect of diabetes mellitus (DM) is the most common cause of blindness in working-age individuals around the globe. Methods: The present study was carried out in the Postgraduate Department of Medicine, Government Medical College, Srinagar for a period of two years after receiving ethical permission from the institutional ethics committee. Once they met the inclusion requirements, 200 patients in all were enrolled. Results: Out of a total of 200 patients, diabetic retinopathy was observed in 12 (6.0%) patients only. Of them, 10 (5.0%) had mild retinopathy, while 02 (1.0%) had moderate retinopathy. None of our patients had severe diabetic retinopathy and interestingly all the cases of retinopathy were non-proliferative Conclusion: the present study revealed that about 8% of people with pre-diabetes also have retinopathy supports the theory that retinopathy may begin in what is now thought of as the pre-diabetic condition and subsequently grow by about 50% shortly after diabetes starts Keywords: prediabetes; epidemiology; impaired fasting glucose; impaired glucose tolerance; prevalence; retinopathy.