Evidence map›Paper›PMID 36209621›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2022

Outpatient human coronavirus associated conjunctivitis in India.

N Venkatesh Prajna, Prajna Lalitha, Gonugunta Vishnu Teja, Rameshkumar Gunasekaran, Sankalp S Sharma, Armin Hinterwirth, Kevin Ruder, Lina Zhong, Cindi Chen, Michael Deiner and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Association of Weather Variables With Pathogens Contributing to Conjunctivitis Worldwide.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  3. Etiologies of Infectious Keratitis in Malawi.The American journal of tropical medicine and hygiene · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Viruses Associated with Acute Conjunctivitis in Vanuatu.The American journal of tropical medicine and hygiene · 2023
    Article
  9. Deep sequencing analysis of clinical samples from patients with acute infectious conjunctivitis during the COVID-19 delta surge in Madurai, India.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2022
    Article
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

16 authors at 4 institutions in 2 countries.

N Venkatesh PrajnaAravind Eye Hospital, Madurai, India.
Prajna LalithaAravind Eye Hospital, Madurai, India.
Gonugunta Vishnu TejaAravind Eye Hospital, Madurai, India.
Rameshkumar GunasekaranAravind Eye Hospital, Madurai, India.
Sankalp S SharmaAravind Eye Hospital, Madurai, India.
Armin HinterwirthFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Kevin RuderFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Lina ZhongFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Cindi ChenFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America.
Michael DeinerDepartment of Ophthalmology, University of California, San Francisco, CA, United States of America.
ChunHong HuangDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States of America.
Benjamin A PinskyDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, United States of America; Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, United States of America.
Thomas M LietmanFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America; Department of Ophthalmology, University of California, San Francisco, CA, United States of America.
Gerami D SeitzmanFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America; Department of Ophthalmology, University of California, San Francisco, CA, United States of America.
Thuy DoanFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, United States of America; Department of Ophthalmology, University of California, San Francisco, CA, United States of America. Electronic address: thuy.doan@ucsf.edu.
SCORPIO (Seasonal Conjunctivitis Outbreak Reporting for Prevention and Improved Outcomes) Study Group
University of California, San Francisco · USAravind Eye Hospital · INStanford Medicine · USStanford University · US

Funding

Seasonal Conjunctivitis Outbreak Reporting for Prevention and Improved Outcomes (SCORPIO)R01EY032041 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOAN, THUY A · 2021 to 2025
$2.0M
NEI NIH HHS R01 EY032041
6 · The paper itself

Abstract

backgroundViral conjunctivitis (pink eye) can be highly contagious and is of public health importance. There remains significant debate whether SARS-CoV-2 can present as a primary conjunctivitis. The aim of this study was to identify pathogens associated with outpatient infectious conjunctivitis during the COVID-19 Delta surge.

methodsThis prospective study was conducted in the spring and summer months of 2021. 106 patients with acute conjunctivitis who presented to the Aravind Eye Center in Madurai, India were included. One anterior nasal swab and one conjunctival swab of each eye were obtained for each enrolled patient. Samples were subsequently processed for unbiased metagenomic RNA deep sequencing (RNA-seq). Outcomes included clinical findings and codetection of other pathogens with SARS-CoV-2 in patients with conjunctivitis.

resultsAmong the 13 patients identified with human coronavirus RNA fragments in their swabs, 6 patients had SARS-CoV-2 infection, 5 patients had coinfections of SARS-CoV-2 and human adenovirus (HAdV), 1 patient had a coinfection with human coronavirus OC43 and HAdV, and 1 patient had a coinfection of Vittaforma corneae and SARS-CoV-2. 30% had bilateral disease and symptoms on presentation. Petechial hemorrhage was noted in 33% of patients with SARS-CoV-2 infection. No patients with SARS-CoV-2 or SARS-CoV-2 and HAdV infections had subepithelial infiltrates on presentation. All patients denied systemic symptoms.

conclusionsAmong the patients presented with conjunctivitis associated with human coronavirus infection, over 50% of the patients had co-infections with other circulating pathogens, suggesting the public-health importance of broad pathogen testing and surveillance in the outpatient conjunctivitis population.

Indexed as

CoinfectionConjunctivitisCOVID-19HumansIndiaOutpatientsProspective StudiesRNASARS-CoV-2RNAConjunctivitisCoronavirusDelta surgeIndiaSARS-CoV-2

Identifiers

PMID36209621
PMCPMC9512524
OpenAlexW4297310824

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.