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etes alone in 98 patients (11.1%). Sickle cell disease was present in 1.5%. Conclusion There is need to invest in infrastructure, local training and development of systems for early detection and treatment of several retinal diseases in sub-Saharan Africa; DR and DME having the largest burden. Collaborative physician care and management of hypertension and diabetes could significantly reduce the burden of DR and DME. © 2020 Nkanga et al.According to the Multiple Deficit Model, comorbidity results when the genetic and environmental risk f