Diabetes mellitus is a condition of increase glucose concentration in blood plasma. Complication of diabetes mellitus are progressive and leads to several changes on ocular surface. Lack of data focusing on changes in ocular surface among early detect diabetes. Therefore, the aim of the study is to focus on the prevalence of changes in Meibomian glands, tear films and crystalline lens among early detect diabetes type 2. A descriptive cross sectional study was conducted to assess the grading of Meibomian glands, number of expressible glands, Tear-break up time (TBUT), schirmer’s test I , and crystalline lens in 100 eyes of 50 patients who has type 2 diabetes less than 5 years. Demographic information , medical and ocular history was recorded. Data was entered on SPSS version 25- descriptive analysis. The mean ± standard deviation for age was 51.08 ± 8.708 and the years of diabetes was 3.14 ± 1.498. The results stated, more people has MGD grade 1 with percentage of 39% . Besides, TBUT test has mean ± SD of 4.74 ± 1.404 and tear production with mean of 15.1± 8.650. There were 54% more patients has no changes on crystalline lens. Approximately, high prevalence in changes of Meibomian gland, and tear film while low prevalence on changes of crystalline lens among shorter duration diabetic patients.