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We investigated the relationship between visual acuity (VA) and glycosylated hemoglobin, and the presentation and type of diabetic maculopathy retrospectively from 2000 to 2003. Data on 103 eyes of 75 patients were gathered. No statistically significant correlation was found between serum HbA1c with maculopathy type. VA is a poor predictor for the presence or absence of clinically significant diabetic maculopathy and type of maculopathy, emphasizing the importance of systematic screening for and early treatment of maculopathy before visual loss.