Purpose : the aim of this work is to evaluate the efficacy and safety of anterior chamber phakic intraocular lenses in correcting high myopia and hypermetropia using the Safety Flex Phakic 6 intraocular lens.Methods : the study included 52 eyes (38 myopes and 14 hypermetropes). The age ranged from 20 to 45 years with the lens and they were followed up for 1 year. Results : correction of the refractive error was achieved with a mean postoperative refractive error of – 1.34 and improvement of best corrected visual acuity was 17%. There were no significant complications and a high safety profile was achieved in the follow up period.Conclusion : the phakic 6 proved to be a safe and effective method of correcting high myopia and hypermetropia according to the results of our study. Longer follow up is recommended to acurately judge the safety.