<![CDATA[Diabetic retinopathy is one of the most common microvascular complications in patients with type 2 diabetes mellitus (T2DM) and a significant cause of blindness. This study aimed to analyze the association between hypertension and the incidence of diabetic retinopathy in T2DM patients at RSUD Banten. This study used a cross-sectional design with a retrospective approach based on medical records. A total of 62 T2DM patients at RSUD Banten during the period 2023–2025 were selected using non-probability consecutive sampling. Hypertension status was determined based on blood pressure ≥140/90 mmHg, a physician diagnosis of hypertension, or documented use of antihypertensive medication, while diabetic retinopathy was assessed through funduscopy or fundus photography findings. Of 62 subjects, 31 (50%) had hypertension and 23 (37.1%) had diabetic retinopathy. The proportion of diabetic retinopathy in the hypertension group was 41.9% and 32.3% in the non-hypertension group. Chi-Square analysis showed no significant association between hypertension and diabetic retinopathy (p = 0.430; PR = 1.30; 95% CI 0.674–2.508). The mean HbA1c was 5.48% ± 0.58%, indicating well-controlled glycemia across all subjects. There is no significant association between hypertension and diabetic retinopathy in T2DM patients at RSUD Banten. These findings suggest that in patients with controlled glycemia, hypertension alone may not be sufficient to demonstrate a significant contribution to diabetic retinopathy, highlighting the multifactorial nature of this complication.]]>
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