A phakic intraocular lens includes a body having a flat anterior-facing surface and a curved posterior-facing surface that defines the optical power of the lens. The lens allows fluid to flow between the phakic lens and the iris and between the phakic lens and the natural lens. An enlarged outer rim helps maintain the position of the lens. Some embodiments are provided with openings, channels, or both at the circumferential edge of the flat anterior-facing surface or the lens body to help prevent the flat surface of the lens from sealing against the iris.
