AIM: To determine the hospital incidence and pattern of retinal diseases and associated risk factors among new adult patients attending the eye clinic in Jos University Teaching Hospital, Jos Plateau state, Nigeria. MATERIALS AND METHODS: Consecutive new adult patients who presented to JUTH, Jos from 30th June to 31st December were recruited. Using a semi-structured questionnaire, information on age, gender, occupation, place of domicile, literacy level, general and ocular history were collected from each patient. Ocular examination included visual acuity assessment, slit lamp examination of anterior segment, detailed fundus evaluation with binocular indirect ophthalmoscope and slit lamp examination in conjunction with non-contact78D and contact panfundoscopic lens. RESULTS: Seventy four (121 eyes) out of 278 patients (27%) had retinal diseases. The mean age of the study participants was 47.5±16.1 years, age range 31.1-63.6 years with a female preponderance (M:F = 1:1.2). Participants with retinal diseases had a mean age of 50±15.3 years, age range 34.7-65.3 years with a female preponderance (M:F = 1:1.8). Majority (75.7%) of the participants with retinal disease were ≥ 40 years of age. The leading causes of retinal diseases were diabetic retinopathy (31.4%), hypertensive retinopathy (17.4%), HIV retinopathy/ CMV retinitis (8.3%) and retinal detachment (7.4%). Age related macular degeneration accounted for only 2.5 % retinal diseases. Notably, predictive/risk factor for retinal diseases included history of diabetes and hypertension and duration of DM > 10 years.