ANKRD11 and Astigmatism: In our cohort, patient 6 shows a proximal deletion not involving the ANKRD11 gene and including only ZFPM1. His phenotype includes: perinatal asphyxia, normal cognitive level, speech delay, no structural anomalies in brain development, normal height and OFC, absent facial dysmorphisms, neonatal transient thrombocytopenia, VSD and severe astigmatism.