Introduction : Pseudoexfoliation syndrome is an age related systemic microfibrillopathy characterized by the deposition of amyloid/hyaloid like material on various body parts like heart , lung , liver , kidneys , cerebral meninges and ocular tissues . In eye , this pseudoexfoliation material is one of the major predisposing factors for the development of secondary open angle glaucoma . Material and Methods : 100 patients , all above 50 years of age and with cataract and pseudoexfoliation glaucoma underwent combined cataract and glaucoma surgery using Manual SICS–Trabeculectomy procedure by a single surgeon . Post–operatively , the results were studied on the basis of visual rehabilitation and Intraocular pressure control . Results : 70.83% male and 78.57% female patients achieved a post–operative best corrected visual acuity of 6/6–6/9 and significantly well controlled Intraocular pressure at 6 months follow up . Conclusion : Combined SICS–Trabeculectomy in pseudoexfoliation patients is a cost effective procedure and also lessens the burden of two separate cataract and glaucoma surgeries .