PURPOSE: To evaluate the efficacy, safety, pre¬dictability, and stability of implanting (PMMA) AC phakic intraocular lens (PIOL) (the Artisan myopia lens) to correct high myopia. METHODS: An Artisan myopia lens was implanted in 30 consecutive eyes of 19 patients with preoperative myopia that ranged from -9.5 to -22.5 D. Mean patient age was 32.37 years. All patients were followed for 12months. The desired outcome was emmetropia in all eyes. RESULTS: Twenty-five eyes (83.3%) had a postop¬erative refraction at the last follow-up examination within -1.00 D of emmetropia. The postoperative refraction remained stable during the entire follow-up period. Mean best-corrected visual acuity improved from 0.3 preoperatively to 0.8 postoperatively. Mean postoperative uncorrected visual acuity was 0.6. There was a significant change in endothelial cell density from baseline; it was 3.5% at the end of the year. We did not encounter major complications. CONCLUSION: Implantation of the Artisan myopia lens to correct high myopia resulted in a stable and fairly predictable refractive outcome. A significant endothelial cell change was detected which endorses longer fellow-up period.