The mutation in FNDC3B (c.455C > T:p.P152L) coexisted with the mutation in COL4A4 (c.3636_3637del:p.R1212fs) in one female KC patient (Table 3), and the mutation in DOCK9 (c.1940C > T:p.P647L) coexisted with a potentially damaging ZNF469 (c.3466G > A) mutation in one male KC patient. This evidence concerns the gene ZNF469 and keratoconus.