Comparative Evaluation of Magnesium, Zinc, Chromium in Normal Controls, Diabetic patients and in Diabetic patients with Diabetic Retinopathy in Western Saudi Arabia. Dr.Khader Farwan MD , FRCSC Abstract Purpose: To evaluate the serum levels of Magnesium (Mg), Zinc (Zn) and Chromium (Cr) in normal, diabetic patients and in the diabetic patient with diabetic retinopathy in Western Saudi Arabia. Setting: King Abdul Aziz University Hospital (KAAUH), Jeddah. Study design: Comparative, non-randomized study. Patients and Methods: The serum levels of Mg, Zn and Cr were analyzed by using atomic absorption spectroscopy (AAA) in 10 normal controls, 15 diabetic patients(DM), 10 patients with Moderate to severe Non Proliferative Diabetic Retinopathy (NPDR) and 15 patients with Proliferative Diabetic Retinopathy (PDR), hence totaling 50 patients. Results: There was a significant hypomagnesaemia noted in DM patients and in NPDR patients when compared to Controls, however hypermagnesaemia was noted in the patient with PDR. The serum levels of Chromium also showed similar decrease in DM patients and in NPDR patients with a mild non-significant increase in the patients of PDR. There was a gradual hypozincaemia noted with increasing spectrum of Diabetic severity. Conclusion: The evaluation of Mg, Cr and Zn may indicate the severity of diabetic retinopathy. Key words: Serum levels, Magnesium, Chromium and Zinc, Diabetic patients, Diabetic Retinopathy