Abstract Introduction: Cataract represents the principal cause of reversible blindness in the world, and cataract surgery is the most performed surgical intervention worldwide. Pseudoexfoliation syndrome (PEX) is best thought of as a systemic microfibrillopathy that chooses the eye as its showcase. Aims and Objectives Aim · Evaluate how pseudoexfoliation (PXF) syndrome alters the clinical picture, surgical approach, and peri-operative outcomes of cataract surgery. Objectives · Profile the typical demographic and ocular characteristics of cataract patients with PXF. · Describe the surgical techniques and intra-operative adjustments surgeons employ when PXF is present. · Measure the frequency and nature of intra-operative complications linked to PXF during cataract extraction. · Track early postoperative complications and short-term visual outcomes in this patient group. Material and Method: Study Design: Cross-sectional, observational study Study Period: The study was conducted over a period of 18 months Place of study: The study was conducted at Department of Ophthalmology at Tertiary Care Hospital. Sample Size: Total sample size were 60 and Randomly Collection Result: The study cohort had a mean age of 62.4 years, with a balanced sex distribution (27 males, 33 females). 41.67% of the participants had a diagnosis of diabetes. Hypertension was more prevalent, affecting 46.67% of the group. Discussion: Our 60-eye snapshot looks a lot like the patients we see every day in busy cataract clinics. The mean age sat at 62 years, diabetes and hypertension split the room almost evenly, and pseudoexfoliation was present but mostly early-stage.