A 43-year-old female presented with sudden monocular diplopia and blurred vision OD for 4 days. Three years prior in Peru she had undergone successful implantation of bilateral Artiflex (Ophtec, Groningen, The Netherlands) phakic intraocular lenses (pIOL) for high myopia. The patient denied any recent or previous trauma. On examination, her Snellen uncorrected distance visual acuity (UDVA) was 20/30 OD and 20/50 OS. Intraocular pressures (IOPs) were normal in both eyes (13 mm Hg OD, 12 mm Hg OS).