Type 2 Diabetes Mellitus is one of the chronic non-communicable diseases with the highest morbidity and mortality in the world. In addition, it is one of the most relevant causes of blindness and other eye conditions, which have a special impact on the low-income population, the most remote location, and among the elderly. Eye conditions caused by T2DM can be curable if diagnosed early and with timely care. This article presents an analysis of primary care data in visual health with diabetes mellitus for the prevention of blindness in the period 2018-2020, with the aim of determining the ocular health of diabetic older adults in patients treated at the Lupita Nolivos Foundation of the Faculty of Medical Sciences of the University of Guayaquil in the period January 2019-December 2020. The results confirm the epidemiological constants related to the age of the patients and their socioeconomic situation. It is recommended to generalize the use of new technologies and to make timely screening in the elderly population and also children.