Background: The association of pseudoexfoliation with blindness and aging has public health implication for India; this is especially so considering the burden of cataract with aging and the association of pseudoexfoliation with cataract as well as complications of cataract surgery. Aim: To clinically evaluate the cases of pseudoexfoliation syndrome and its associated intra operative and post operative complications during cataract surgery. Methods: A descriptive study based on probability sampling of patients having pseudoexfoliation syndrome admitted for cataract surgery in a tertiary care hospital was carried out spread over 3 years. A total of 220 eyes of 125 cataract patients aged 50 years or more were included in the study The data were analyzed through SPSS version 15.0. Results: A total of 125 patients having Psuedoexfoliation were included in the study. Vitreal prolapse in 21 (10.5%)andposterior capsular rupture in 18 (9%) patients were the most common complications seen in Pseudoexfoliation. Damage to sphincter pupillae in 16 (8%), iridodialysis in 2 (1%), decentration of IOLin8(4%) andhyphaemain 2(1%) patients wasseen. Zonulardialysisin8(4%), retainedlens matter in 12 (6%) and lens dislocation was seen in 6 (3%) patients. Conclusion: Patientswithpseudoexfoliation are at increased risk for development of complications. Ophthalmologists should stress to in crease awareness among general public for the proper diagnosis and convince patients for proper and regular follow up visits to thehospital.

Keywords: Pseudoexfoliation; Cataract; Complications; Intraocularpressure.