This paper discusses the use of the Artisan Aphakia IOL which is used for secondary fixation in the absence of adequate capsular support. It has the advantage of being relatively straightforward to insert, can be placed without suturing or scleral fixation techniques, and can easily be exchanged when applicable. Unlike traditional anterior chamber IOLs there is no contact with the anterior chamber angle or cornea thus making its safety profile comparable to that of conventional primary posterior chamber IOLs. It is currently the subject of an FDA monitored clinical trial in the US.