key: cord-1019612-5xlqhp4a authors: Liu, Meng; Dai, Cheng; Lv, Xiaodong; Li, Binzhong title: Letter to the Editor: Are severe COVID‐19 patients more susceptible to conjunctivitis? date: 2020-06-04 journal: J Med Virol DOI: 10.1002/jmv.26084 sha: c8bc1b53e1f5b379b5c9cbb3d529c83a30af42dd doc_id: 1019612 cord_uid: 5xlqhp4a We read with interest the article by Lorenzo et al On Conjunctivitis and COVID-19: a meta analysis. We appreciate the article's suggestions on protection in ophthalmic diagnosis and treatment, but believe that the data and conclusions in meta-analysis need further study. This article is protected by copyright. All rights reserved. Inevitably, our meta-analysis also has certain limitations, such as too few documents and factors of the reporting population. Therefore, whether the patient has conjunctivitis or not is not necessarily related to the severity of COVID-19, this controversial issue may require further study. But when it is unknown whether conjunctival infection exists and whether it has an early warning effect on some systemic diseases, it is necessary to improve prevention and is also an important measure to facilitate treatment and avoid further spread. F I G U R E 1 The forest map comparing conjunctivitis with severe COVID-19 and not severe COVID-19 Conjunctivitis and COVID-19: a meta-analysis Characteristics of ocular findings of patients with coronavirus disease 2019 (COVID-19) in Hubei province, China Novel Coronavirus disease 2019 (COVID-19): the importance of recognising possible early ocular manife station and using protective eyewear Evaluation of coronavirus in tears and conjunctival secretions of patients with SARS-CoV-2 infection National Health Commission of the People's Republic of China. The guideline on diagnosis and treatment of the novel coronavirus pneumonia (NCP): revised version of the 5th edition Conjunctivitis can be the only presenting sign and symptom of COVID-19 Keratoconjunctivitis as the initial medical presentation of the novel coronavirus disease 2019 (COVID -19) SARS-CoV-2 may be related to conjunctivitis but not necessarily spread through the conjunctiva SARS-CoV-2 and conjunctiva Evaluation of ocular symptoms and tropism of SARS-CoV-2 in patients confirmed with COVID-19 Three cases of novel coronavirus pneumonia complicated with conjunctivitis