Faron N, et al. - In the present study, the researchers sought to analyze outcomes in a large cohort of spectacle-aversive children with high myopia who were treated by implantation of the Ophtec-Artisan or Visian phakic intraocular lens pIOL. In 78 children (115 eyes) implanted with the Ophtec-Artisan iris-enclaved anterior chamber pIOL and 91 children (154 eyes) implanted with the Visian ICL (intraocular collamer lens) sulcus pIOL, the outcome data were collated retrospectively. In total, 248 of 269 eyes (92%) were corrected to within ± 0.5 D of their target value. Implantation of pIOLs in children is an effective way to correct high myopia in spectacle noncompliant children. Myopic regression rates after pIOL surgery are significantly lower than those reported for children treated with excimer laser photorefractive keratectomy. In this high-risk population, the incidence of major complications was relatively small.