Background: A prevalent age-related systemic condition calledpseudo-exfoliation syndrome (PEX) has severe ocular symptomslike glaucoma and cataracts, Aim: In this study, people withpseudo-exfoliation syndrome (PEX), anterior segment opticalcoherence tomography (AS-OCT) was utilized to evaluate theanatomical features of the anterior lens capsule and iris. Patientsand Methods: This study was designed as a case-control studyat Benha University Hospital, using 20 eyes from 18 patients—2patients with bilateral PEX and 16 patients with unilateralPEX—and 10 eyes from the normal control group. Results: Theparameters between the new PEX group and the control groupwere examined and compared using patients with pupillarydiameters ranging from 5.5 to 7 mm. Iris thickness (central,ciliary, and pupillary) was considerably lower in the PEX group.Compared to the control group, BCVA was significantly lowerin the PEX group. Conclusion: Our study revealed significantincrease thickness of central ALC in PEX group by 11% whencompared to control group. Iris thickness (mid-peripheral irisstromal thickness, iris thickness at the papillary border, iristhickness at the ciliary border) all decreased (by 25%, 37%,39%) in PEX group when compared to the control group. Iristhickness may be assessed before and after dilatation for more accurate evaluation of iristhickness of PEX (PDF) Anterior Segment Optical Coherence Tomography of Anterior Lens Capsule in Pseudo-Exfoliation Syndrome. Available from: