This 30-year-old patient had a high myopia and with-the-rule astigmatism. Her best-corrected-visual-acuity was 20/20 with -6.75 -2.50 x 10. cornea an asymmetric bowtie, we were concerned laser vision correction. We then decided to implant toric phakic intraocular lens (Visian ICL® toric) and, 1 week after surgery, she J1 uncorrected. Note the central anterior vaulting of away from crystalline l...