Human subjects The study was approved by the Ethics Committee of Zhongshan Ophthalmic Center, China and the Ethics Committee of Wuhan Hankou Hospital, China. A written informed consent was routinely obtained from all individuals participating in the study and all relevant ethical regulations regarding human research participants were followed. Healthy non-frail individuals were recruited in the Zhongshan Ophthalmic Center, and divided by age into two groups in cohort-1: young adults (YA) and aged adults (AA). The YA group ranged from ages 20 to 45 years old and the AA group ranged from ages 60 to 80 years old. COVID-19 patients diagnosed by real-time fluorescent quantitative reverse transcription polymerase chain reaction (RT-qPCR) and CT images were enrolled in the Wuhan Hankou Hospital, China. Based on their clinical history, patients were divided into incipient and recovered groups in cohort-2 and cohort-3 respectively, and the incipient hospitalized patients were further divided by age into young COVID-19 patient onset (YCO) and aged COVID-19 patient onset (ACO). Enrolled patients that tested negative with nucleic acid transfer in 7–14 days were further divided into young COVID-19 patient recovered (YCR) and aged COVID-19 patient recovered (ACR). Individuals with comorbid conditions including cancer, immunocompromising disorders, hypertension, diabetes and steroid usage were excluded. No significant gender differences were detected between YA group and AA group in cohort-1 (Table S1C–E), between YH, AH, YCO and ACO group in cohort-2 (Table S1F), between YH, AH, YCR and ACR group in cohort-3 (Table S1G).