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5%) were associated with similar results. A significantly reduced ECD (P 0.001) and Hex (P = 0.001) and higher CV (P = 0.007) and CCT (P = 0.01) was noted when assessed against various stages of DR. Multivariate analysis showed that increasing age was significantly associated with lower ECD (P 0.001), Hex (P 0.001), and CCT (P = 0.004); and a higher CV (P 0.001). DM has deleterious effects on corneal endothelium and thickness. The presence of DR may further warrant a thorough corneal evaluation, especially wh