Background Microalbuminuria is linked to inadequate management of hypertension; its existence could indicate the need for enhanced hypertension control. We determined the prevalence of retinopathy and microalbuminuria and their correlates among hypertensive patients without diabetes. Materials and methods: It is a cross-sectional observational study conducted at Chettinad Hospital and Research Institute between August 2023 to February 2024. The hypertensive patients above 18 years of age visiting General Medicine OPD were recruited for the study. Detailed history and clinical examination were done and BP was measured following the standard protocol. Fundoscopic examination was performed to detect the hypertensive retinopathy. Urine routine biochemical analysis was done to determine the presence of microalbuminuria. Results: Majority of the respondents were males, 62 (62%) while the female counterparts were 38 (38%) The prevalence of micro albuminuria among the respondents was 48 % with a frequency of 48. Binary logistic regression was done to identify retinopathy predictors. Age (odds ratio 1.20), body mass index (odds ratio 1.20), systolic blood pressure (odds ratio 1.56), and albumin-creatinine ratio (odds ratio 1.84) all elevated the risk of retinopathy, according to multi-variable adjusted odds ratios. Conclusion: Retinopathy and microalbuminuria are common medical ailments, particularly for patients with poorly managed blood pressure. Clinicians should routinely do fundoscopy and urine albumin tests to keep the blood pressure in a controlled state.