Evidence map›Paper›PMID 32880786›Full record

ReviewInternational ophthalmology2021

Ocular tropism of coronavirus (CoVs): a comparison of the interaction between the animal-to-human transmitted coronaviruses (SARS-CoV-1, SARS-CoV-2, MERS-CoV, CoV-229E, NL63, OC43, HKU1) and the eye.

Eman Al-Sharif, Diego Strianese, Nada H AlMadhi, Antonella D'Aponte, Roberto dell'Omo, Rita Di Benedetto, Ciro Costagliola

Open access · bronzeAbstract readReview
In one paragraph

Review in International ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Ocular Symptoms in Long COVID: A Cross-Sectional Study.Clinical ophthalmology (Auckland, N.Z.) · 2026
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  3. Article
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  6. Effects of COVID-19 on the contrast sensitivity.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2025
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  13. Alkaloids as potential antivirals. A comprehensive review.Natural products and bioprospecting · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Eman Al-SharifKing Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Diego StrianeseKing Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia. strianes@unina.it.ORCID http://orcid.org/0000-0002-6140-7539
Nada H AlMadhiKing Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Antonella D'AponteKing Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Roberto dell'OmoDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
Rita Di BenedettoDepartment of Preventive Medicine, ASL Napoli 1 Centro, Naples, Italy.
Ciro CostagliolaDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
King Khaled Eye Specialist Hospital · SAUniversity of Molise · ITPrincess Nourah bint Abdulrahman University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral studies have reported conflicting results on ocular manifestations and transmission of coronavirus disease 2019 (COVID-19) whose causative virus, SARS-CoV-2, belongs to the coronavirus family, the seventh recognized as a human pathogen and the third causing a severe clinical syndrome. COVID-19 primarily affects the lungs, similar to the other human coronaviruses. Comparing the relation between the animal-to-human transmitted coronaviruses (SARS-CoV-1, SARS-Cov-2, MERS-CoV, CoV-229E, NL63, OC43, HKU1) and the eye may contribute to determining their actual eye-tissue tropism and risk of ocular transmission.

methodsLiterature review was conducted via Pubmed.gov, Google Scholar and medRixv using the following keywords: COVID-19, SARS-CoV-2, SARS-CoV-1, MERS-CoV, CoV-229E, NL63, OC43, HKU1, conjunctivitis, tear swab, ocular expression, ocular symptoms and human angiotensin converting enzyme-2 expression. Studies with lack in methodology were excluded.

resultsSixteen observational studies were selected. The range for detection of viral RNA in tears was 0-8% for SARS-CoV-1 and 0-5.3% for SARS-CoV-2, while no reports were found for other coronaviruses. Ocular manifestations have been reported for NL63 and SARS-CoV-2. Ocular symptoms in the form of conjunctivitis/conjunctival congestion predominantly were detected in 65 (3.17%) out of 2048 reported patients with COVID-19 (range of 0.8-32%). Eye symptoms were not reported for the other coronaviruses.

conclusionsData aggregation for coronaviruses shows a relatively low eye-tissue tropism. Conjunctival congestion is an uncommon manifestation of COVID-19 similar to all human coronaviruses' infections. In a low percentage of patients, the virus can be excreted in ocular fluids at different stages of the infection, regardless of positive SARS-Cov-2 throat swab. Albeit high viral loads in ocular tissue seem to have relatively low prevalence, the eye should be regarded as a potential source of infection dissemination for COVID-19.

Indexed as

PandemicsSARS-CoV-2AnimalsCOVID-19Disease Transmission, InfectiousEye Infections, ViralGlobal HealthHumansIncidenceTropismConjunctivitisCoronavirusCOVID-19EyeOphthalmologistsPrecautionsSARS-CoV-2

Identifiers

PMID32880786
PMCPMC7471531
OpenAlexW3081555949

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.