Evidence map›Paper›PMID 33665540›Full record

ArticleJournal of vitreoretinal diseases2020

SARS-CoV-2 and the Eye: Implications for the Retina Specialist from Human Coronavirus Outbreaks and Animal Models.

Alasdair Kennedy FRCOphth, Jessica G Shantha, Ji-Peng Olivia Li, Lisa J Faia, Caleb Hartley, Sanjana Kuthyar, Thomas A Albini, Henry Wu, James Chodosh, Daniel S W Ting and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of vitreoretinal diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
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

11 authors at 7 institutions in 3 countries.

Alasdair Kennedy FRCOphthBrighton and Sussex Medical School, Brighton, United Kingdom.
Jessica G ShanthaEmory Eye Center, Emory University School of Medicine, Atlanta, GA.
Ji-Peng Olivia LiMoorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
Lisa J FaiaAssociated Retinal Consultants, Royal Oak, MI.
Caleb HartleyEmory University Rollins School of Public Health, Atlanta, GA.
Sanjana KuthyarEmory Eye Center, Emory University School of Medicine, Atlanta, GA.
Thomas A AlbiniBascom Palmer Eye Institute, University of Miami Miller School of Medicine.
Henry WuDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
James ChodoshMassachusetts Eye and Ear, Harvard Medical School, Boston, MA.
Daniel S W TingSingapore National Eye Center, Duke-NUS Medical School, Singapore.
Steven YehEmory Eye Center, Emory University School of Medicine, Atlanta, GA.
Emory University · USAssociated Retinal Consultants · USBrighton and Sussex Medical School · GBMassachusetts Eye and Ear Infirmary · USMoorfields Eye Hospital NHS Foundation Trust · GBSingapore National Eye Center · SGUniversity of Miami · US

Funding

P30-Core Grant for Vision Research Core CP30EY006360 · NEI · EMORY UNIVERSITY · PI PARDUE, MACHELLE T. · 1986 to 2025
$15.3M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Emory University BIRCWH ProgramK12HD085850 · NICHD · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, STERK, CLAIRE E · 2015 to 2023
$4.4M
Pathogenesis of Uveitis in Ebola Virus Disease SurvivorsR01EY029594 · NEI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI YEH, STEVEN · 2019 to 2023
$2.9M
Emory R38 Research Training ProgramR38AI140299 · NIAID · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, ROUPHAEL, NADINE GEORGES · 2018 to 2021
$1.4M
Ophthalmic Disease and Laboratory Surveillance in a Viral Hemorrhagic Fever ZoneK23EY030158 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHANTHA, JESSICA · 2019 to 2023
$1.2M
NEI NIH HHS K23 EY030158NEI NIH HHS P30 EY006360NEI NIH HHS R01 EY029594NIAID NIH HHS R38 AI140299NIA NIH HHS U54 AG062334
6 · The paper itself

Abstract

purposeThe current SARS-CoV-2 pandemic has escalated rapidly since December 2019. Understanding the ophthalmic manifestations in patients and animal models of the novel coronavirus may have implications for disease surveillance. Recognition of the potential for viral transmission through the tear film has ramification for protection of patients, physicians, and the public.

methodsInformation from relevant published journal articles was surveyed using a computerized PubMed search and public health websites. We summarize current knowledge of ophthalmic manifestations of SARS-CoV-2 infection in patients and animal models, risk mitigation measures for patients and their providers, and implications for retina specialists.

resultsSARS-CoV-2 is efficiently transmitted among humans, and while the clinical course is mild in the majority of infected patients, severe complications including pneumonia, acute respiratory distress syndrome, and death can ensue, most often in elderly patients and individuals with co-morbidities. Conjunctivitis occurs in a small minority of patients with COVID-19 and SARS-CoV-2 RNA has been identified primarily in association with conjunctivitis. Uveitis has been observed in animal models of coronavirus infection and cotton-wool spots have been reported recently.

conclusionSARS-CoV-2 and other coronaviruses have been rarely associated with conjunctivitis. The identification of SARS-CoV and SARS-CoV-2 RNA in the tear film of patients and its highly efficient transmission via respiratory aerosols supports eye protection, mask and gloves as part of infection prevention and control recommendations for retina providers. Disease surveillance during the COVID-19 pandemic outbreak may also include ongoing evaluation for uveitis and retinal disease given prior findings observed in animal models and a recent report of retinal manifestations.

Indexed as

2019-nCoVanimal modelsconjunctivitisCoronavirusCOVID-19eyeophthalmologyretinaSARS-CoV-2uveitis

Identifiers

PMID33665540
PMCPMC7928265
OpenAlexW3045544616

What OpenQuestion holds

Textmetadata
LicenceTDM
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.