PEX is a systemic disease with ocular manifestations represented by deposition of white fibrillogranular material on the internal tissue of the eye. It is an age related and environmentally influenced disorder of the elastic fibre structure. Pseudo exfoliation is present worldwide in every race and ethnic group with variable prevalence. Methods: A retrospective descriptive study of records of 398 patients, scheduled for cataract surgery in the martyr Sohail Alatrash eye hospital- Benghazi from 1-Januray-2010 to 31-May -2010, were included. Demographic parameters like age and sex as well as clinical Features including the presence of PEX were collected. Results: Out of 398 patients enrolled, 56 were diagnosed with PEX. A statistically insignificant relationship was found between PEX and advancing age in both males and females (𝑃> 0.005). Conclusion: We found the prevalence of PEX syndrome among Libyans patients with age –related cataract scheduled for surgery aged 40 years or older to be 14.1%.