Moreover, it points out that multiple associated ribosomal deficits might play a role in DBA-related phenotypes, considering the simultaneous deletion of three of them in the index case (<i>RPS26, PA2G4</i> and <i>RPL41)</i>, and it confirms the association among <i>SLC39A5</i> functional disruption and severe myopia. This evidence concerns the gene RPL41 and myopia.