Dr. Ken Wright shares a case of juvenile rheumatoid arthritis (JRA) and severe chronic iritis causing synechiae and cataract. The synechiae are dense and hard to remove, and the anterior capsule is fibrotic and difficult to penetrate. Following an anterior capsulectomy, a 1-piece acrylic IOL is injected into the bag. In cases of JRA and iritis, placement of the IOL in the bag maintains separation between the anterior and posterior chambers and reduces the incidence of cystoid macular edema (CME).