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Purpose: To determine the changes in endothelial cell density, refractive results, and risk factors associated with endothelial loss in patients with iris-claw phakic intraocular lenses for myopia/myopic astigmatism (Artisan). Methodology: Data collection was obtained from an existing database with information on patients with a phakic Artisan lens implant between 1998 and 2011 at the Virgilio Gal...