Aim: The purpose of this study was to study the frequency and types of complications of small incision cataract surgery (SICS) in patients with pseudoexfoliation [PEX]. Method: This cross-sectional descriptive study was carried out on 65 eyes of 65 patients with cataract and PEX who underwent SICS in a tertiary care hospital. Their perioperative and post-operative complications were documented. Results: The most common finding was Poor pupillary dilatation inspite of use of standard mydriatic drops and non-steroidal anti-inflammatory drugs. Spinchterotomy was done in 7 (10.7%) cases. Other problems encountered were accidental posterior capsule rupture, vitreous loss, retained cortical matter, decentered intraocular lens and zonular dialysis. Conclusion: Presence of associated PEX in cataract patients significantly increases the risk of vision threatening complications. Use of flexible iris hooks for small pupils and for capsular stability, capsular tension rings and high viscosity viscoelastics are useful modifications of surgical technique for good visual outcome. 

Keywords: Pseudoexfoliation; Zonular Weakness; Spinchterotomy; Pupillary Dilatation.