Aim: The purpose of this study was to investigate on the prevalence of dermatological lesions in patients with diabetic retinopathy. Methods: This cross sectional study was done the Department of Ophthalmology, M.G.M. Medical College & Hospital, Jamshedpur, Jharkhand, India for 15 months. 100 patients with diabetic retinopathy having diabetes mellitus of at least 5 years duration, aged between 33-63 years, were included in this study. The dermatological examination was done by a dermatologist under proper day light and if needed, using hand held magnifying lens. Examination of the retina was done by an Ophthalmologist using indirect ophthalmoscopy of dilated fundus, fundus photo, fundus fluorescein angiography and optical coherence tomography of the macula. Results: Of the 100 diabetic patients included in this study, 8(8%) had Very Mild Non Proliferative Diabetic Retinopathy (NPDR), 30 (30%) had Mild NPDR, 33 (33%) had Moderate NPDR, 10 (10%) had Severe NPDR, 11(11%) had Proliferative Diabetic Retinopathy (PDR) and 38 (38%) had Clinically Significant Macular Edema (CSME). Out of 79 patients, the most prevalent dermatological lesions noted. 39(39%) patients had diabetic dermopathy, 29 (29%) had Xerosis, 25 (25%) had IGH, 21 (21%) patients had Icthyosis, 5(5%) patients had Intertrigo, 4 (4%) patients had Tinea Versicolor, 3 (3%) patients had Chronic Paronychia and 3 (3%) patients had Tinea Unguium. 2 (2%) patients had Eczema, 2 (2%) had Melasma, 2(2%) had Lichen Amyloidosis, 2 (2%) had Varicose vein, 1 (1%) had Fissure feet, 1(1%) had Pigmented Purpuric Dermatosis (PPD), 1 (1%) had Dermatosis Papulosa Nigra (DPN), 1 (1%) had Sclerodactyly, 1 (1%) had Plain warts, 1(1%) had Macular Amyloidosis, 1 (1%) had Cherry Aneurysm, 1 (1%) had Xanthelasma Palpebrarum, 1 (1%) had Photodermatitis, 1 (1%) had Skin tags, 1 (1%) had Onychomycosis, 1 (1%) had Onychogryphosis and 1 (1%) had Prurigo. Conclusion: Prevalence of Dermatological lesions in Diabetic Retinopathy patients was 79%, the most common being Diabetic Dermopathy (shin spots) which was 39%.