Here is one proof that the genus is bounded (although presumably a more elegant solution exists).
Write $\Sigma=d\pi^*H - \sum_{i=1}^nm_iE_i$ in the usual basis for $\operatorname{NS}(X)$ (i.e. $\Sigma$ is the strict transform of a curve of degree $d$ in $\mathbb{P}^2$, with multiplicity $m_i$ at each of the points which is blown up).
We can rearrange the inequality into the form $\tfrac12(\Sigma^2 + K_X\Sigma) < \tfrac12(d-\sum m_i)$. Then, from the usual genus formula for $\Sigma\subset X$, we have
\begin{equation*}
g_\Sigma = 1 + \tfrac12(\Sigma^2 + K_X\Sigma) < 1 + \tfrac12\left(d-\sum_{i=1}^n m_i\right)
\end{equation*}
so we may assume that $d > 2 + \sum m_i$, else $g_\Sigma \leq 2$.
Now we can prove the result by induction on $n$ (the number of points blown up on $\mathbb{P}^2$). If $n=0$ it is easy to see that the inequality becomes $3d > \tfrac12d^2 + d$, hence $d<4$ and $g\leq1$.
By the induction hypothesis, if $n>0$ then we may assume each $m_i\geq 1$ (else blow down the point with $m_i=0$ and reduce to the $n-1$ case). The inequality is
\begin{equation*}
3d - \sum_{i=1}^nm_i > \frac12 \left(d^2 - \sum_{i=1}^n m_i^2 \right) + d
\end{equation*}
which can be rearranged as
\begin{equation*}
(d - 2)^2 < \sum_{i=1}^n (m_i-1)^2 + 4 - n
\end{equation*}
But, since $m_i\geq 1 \: \forall i$, we have $\sum (m_i-1)^2 \leq \left(\sum(m_i-1)\right)^2$ and since $\sum m_i < d - 2$ we have
\begin{equation*}
(d - 2)^2 < (d-2-n)^2 + 4 - n
\end{equation*}
which gives the bound $d < \frac{n^2+3n+4}{2n}$, and hence a bound for $g$.