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The Science Behind the Device: 21/04/2011 Computer vision syndrome (CVS) describes a rapidly growing eye related repetitive strain disorder relating to the use of computer screens, affecting an estimated 90% of workers using computers for more than three hours a day (1)(2). CVS symptoms are dryness, soreness, irritation and redness of the eyes, headaches, blurred vision, migraines and eye strain while using a computer screen or a visual display unit (VDU). It is believed that the major contributor to CVS symptoms by far appears to be dry eye (2). In the literature, there is evidence supporting the notion that VDU use decreases the blink rate. In an investigation, the blink rate was measured using noninvasive techniques, in relation to VDU use. In normal healthy subjects, the results show an average 5-fold drop in blink rate during VDU use(3). In studies, the decrease in blinking frequency was shown to be an essential cause of dry eye symptoms (4). Blinking not only has the purpose of smoothing the tear film ("windshield effect"), but also affects the composition and stability of the different layers of tears (4). A recent study looked at therapeutic approaches for managing the reduced blinking during computer work. The research was cited in a European Eye Journal. The study showed that a schematic visual representation of a blink presented on a computer screen can increase the blink rate of individuals by 139% (5). A recent paper published by the University of Queensland, Australia discussed a new view that has emerged, one that focuses on the management rather than the elimination of work related CVS issues that are prevalent among eWorkers (6). The highly innovative ‘Blinknow” device helps control the work conditions and forms a part of the multifaceted interventions designed to decrease discomfort and reduce the associated economic burden from CVS. KEY SCIENTIFIC REFERENCES 1) A Aaras, G Horgen and O Ro. Work with visual display unit: Health consequences. International Journal of Human Computer Interaction 12 (2000), 107-134. 2) C Blehm, S Vishnu, A Khattak, S Mitra and RW Yee. Computer vision syndrome: A Review, Survey of Ophthalmology 50 (2005), 253-262. 3) S Patel, R Henderson, L Bradley, B Galloway, L Hunter. Effect of visual display unit use on blink rate and tear stability. Optometry and Vision Science 68(1991), 888-92. 4) F Ziemssen, N Freudenthaler, K Regnery , T Schlote. Blinking activity during visual display terminal work. Part 1: Ocular discomfort and pathophysiological principles. Ophthalmologe 102(2005): 805-11. 5) F Ziemssen, N Freudenthaler, K Regnery , T Schlote. Blinking activity during visual display terminal work. 2: reduced blinking and therapeutic approaches. Ophthalmologe 102(2005): 895-901. 6) E Kirk, J Strong. Management of eWork health issues: A new perspective on an old problem. Work 2010, 35: 173-181.