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We report the case of a 30-year-old woman implanted with an iris- fixated lens (Artisan, OPHTEC) in the right eye (RE) and with an implantable contact lens (ICL) (V4, STAAR) the left eye (LE) for the correction of high myopia. The patient complained of halos and distortion on the RE 4 years after the Artisan implantation. There was a slight superior descentration of the phakic IOL. Uncorrected VA was 20/25 and there was a significant decrease of endothelial cell density. The reported symptoms may be due to the observed slight increase in higher-order aberration and contrast sensitivity (CS). Three months after implanting a posterior chamber intraocular lens (ICL) in the LE, the uncorrected VA was 20/25. The decrease in the endothelial cell density was not statistically significant. The CS was within normal limits and the higher-order aberration was lower than 0.5μm.

Artisan versus ICL in the same Patient: A Slight Aberration makes a big Difference