Background: Pseudoexfoliation syndrome (PXF) is a well-known clinical condition associated with cataract and the more serious blinding secondary open angle glaucoma that lead silently if unilateral or asymmetrical to irreversible loss of vision as the condition will not diagnosed and treated early, so our objective is to estimate the size of the problem so we can plan to overcome the serious blinding outcome in the future. Objectives: 1-Assess the clinical condition frequency. 2-Assess associated complications as cataract and glaucoma (PXG). Settings and Design: Descriptive cross-sectional study of partially random sample. Patients and methods: Partially selected elderly Kurds patients aged 55 years or above those visited Aso eye hospital for any reason, we enrolled 252 patients, 128 female and 124 male patients in the survey, Full slit lamp examination, visual acuity, refraction, fundoscopy and intraocular pressure measurement by Applanation tonometer were done to the patients. Statistical analysis used: Microsoft excels 2010. Results: Of total 252 patients examined, we report 73 patients (146 eyes) have the syndrome; this represents a frequency or relative prevalence of about 29%. 30(44%) are females and 43 (56%) are males, so female to male ratio was about 2/3, of the affected 73 patients, 56 (76.7%) patients have the disease in both eyes (112 eyes) and 17 (23%) patients (34 eyes) of them was affected in one eye, of those affected 73 patients, 60 (82.2%) patient aged 65 years or above, 67(91.7%) of them were moderate to heavy smokers.