Optical biometry allowed comfortable, noncontact, high-precision measurement in the optical axis. Uncorrected visual acuity and lens opacity were predictors of successful measurements. Eyes with dense cataract or poor visual acuity are better evaluated using ultrasound applanation.

During the 6-month follow-up, no significant rotation was observed after implantation of Artisan toric phakic IOLs to correct high ametropia. A sutureless sclerocorneal superior approach for phakic IOL insertion resulted in moderate to low astigmatism. Induced astigmatism should be taken into consideration during preoperative planning.