The study aimed at determining the prevalence of visual impairment among diabetic patients in the Kumba urban area, South West Region, Cameroon. The descriptive cross-sectional study was hospital -based. Through purposive sampling technique, 84 diabetic patients were selected from three hospitals with Diabetic and Eye Clinics in the Kumba urban area, Cameroon. The participants were taken through visual acuity measurement, ophthalmoscopy, retinoscopy, subjective refraction and slit lamp examinations. Informed consent was signed by the study subjects. Data collected was analyzed using SPSS v. 20. A total of 52.4% were females and 47.6% were males. The total prevalence of visual impairment among diabetics in the area was 17.8% A total of 60.0% of the visually impaired were females and 40.0% being males (p<0.05, 95% CI).The prevalence of ocular conditions among the visually impaired diabetics was 43.3% for cataract, 23.3% for diabetic retinopathy (DR), 16.7% for glaucoma, 13.4% for refractive error and 3.3% for other ocular conditions. This study revealed that the prevalence of visual impairment among diabetic patients in the Kumba urban area, Cameroon was 17.8%. Cataract was the leading ocular condition with 43.3%, present in the visually impaired participants of this study.