This patient had a penetrating injury 25 years ago. Repair at that time included removal of a traumatic cataract and placement of a 3-piece PMMA posterior chamber IOL. Vision was very good for some time but in recent years fluctuated and decreased. On exam the IOL appeared to be in the sulcus and mobile without vitreous in the anterior chamber. Iris fixation or IOL exchange for an AC IOL were considered and discussed. The video demonstrates the iris fixation which restored vision to 20/15 uncorrected. Video by Jason Jones, MD.