“…6 Prolyl hydroxylation occurs as a post-translational modification for fibril-forming collagens such as collagens I, II, IV and V. 7 Murine models show that P3H2 is expressed in coordination with and interacts with basement membrane collagens such as type IV collagen. 8 Collagen type IV is found in the ciliary zonules, the lens capsule, and the inner limiting membrane of the retina; P3H2 inactivation as a result of defective collagen hydroxylation is likely to be the cause of zonular instability, cataract, and a predisposition to retinal tears/detachment in patients with recessive LEPREL1 mutations. 9,10 In addition, as disruption of the inner limiting membrane of the retina in chick embryos results in marked eye enlargement, a defective inner limiting membrane of the retina from recessive LEPREL1 mutations might lead to pediatric high myopia.…”