This absract from Seminars in Ophthalmology: Purpose : To investigate the frequency of Alzheimer-related dementia in patients with pseudoexfoliation syndrome (PEX). Methods : Sixty-seven patients with PEX and 67 age-, gender-, and educational-background-matched control subjects were compared for the presence of Alzheimer-related dementia according to DSM- IV-TR. The effects of cataract, glaucoma, additional ocular and systemic disease on the dementia incidence were also evaluated in patients with PEX and the control group. Results : The frequency of Alzheimer-related dementia was higher in patients with PEX ( p = 0.0001). The frequency of dementia in patients who had cataract was higher than in patients without cataract ( p = 0.003). There was also an association between additional ocular disease and dementia ( p < 0.05). However, there was no association between systemic disease and dementia ( p > 0.05). Furthermore, there was no difference for the frequency of deme...