Fig. 85. Pupillary capture was undiagnosed for some time. The IOL was eventually placed behind the iris but not within the capsular bag that had fibrosed closed. The inflammatory reaction also caused substantial pigment from the posterior iris pigment epithelium to become adherent in a large sheet-like posterior synechia. Although the synechia was mechanically broken, much posterior pigment stayed behind. (Courtesy of James A. Davison, MD, Wolfe Eye Clinic, Marshalltown, IA.)