Evidence map›Paper›PMID 34571605›Full record

Trial reportIndian journal of ophthalmology2021

Efficacy of blink software in improving the blink rate and dry eye symptoms in visual display terminal users - A single-blinded randomized control trial.

D L Ashwini, Ramesh S Ve, Daniela Nosch, Natoya Wilmot

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07430137 (Effect of a Blink Reminder Program on the Progression of Meibomian Gland Loss in Intensive Digital Screen Users), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07430137 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effect of a Blink Reminder Program on the Progression of Meibomian Gland Loss in Intensive Digital Screen Users: a Randomized Controlled Trial With Infrared Meibography

TypeinterventionalSponsorAsociación para Evitar la Ceguera en MéxicoRan2026 to 2026Enrolled28ConditionsDry Eye Syndromes, Meibomian Gland Dysfunction (Disorder)ArmsDigital Blink Reminder Software (BlinkEasy), Visual Hygiene Education (20-20-20 Rule).
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

D L AshwiniDepartment of Optometry, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi; Sankara College of Optometry, Sankara Eye Hospital, Bengaluru, Karnataka, India.
Ramesh S VeDepartment of Optometry, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, India.
Daniela NoschFHNW University of Applied Sciences and Northwestern Switzerland, School of Engineering, Riggenbachstrasse 16 CH-4600 Olten, Switzerland.
Natoya WilmotDepartment of Optometry, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDry eye disease (DED) is a multifactorial disease, more prevalent among visual display terminal users. Reduced blink rate is a risk factor to dry eye disorder, innovative means to remind to blink while using computers can be helpful.

methodsSingle-blinded Randomized Control Trial enrolled computer users with dry eye. Allocation concealment was done using opaque envelope and principal investigator was blinded. After baseline examination, eligible participants were randomized to intervention group (appearance of bars is 8 times/min) and control group (appearance of bars is 1 time/min). Participants from both groups used the software for 15 days, came for first follow up, and did not use the software for next 15 days until second follow-up examination. During each visit, detailed eye examination was done including blink rate, tear film break up time, and Ocular Surface Disease Index score.

resultsForty-six participants (women n = 31; men n = 15) with a mean age of 28.02 (±6.295) years completed the study. Four participants were excluded from analysis because of early dropout. In the intervention group (n = 23) and control group (n = 23), participants were allocated. At the end of first phase, there was statistically significant difference in OSDI score (P = 0.021). Statistically significant difference was noticed in OSDI (P = 0.014) and blink rate (P = 0.049) as baseline, and final visit data were compared.

conclusion"Blink-Blink" software with 8 reminders/min improved DED-related symptoms by increasing the blink rate. The carry-over effect after cessation of Blink-Blink software in improving blink rate was maintained even after 1 month.

trial registration: Clinical Trials Registry-India (CTRI): CTRI/2018/08/015176.

Indexed as

Dry Eye SyndromesTearsAdultBlinkingComputersFemaleHumansMaleSoftwareYoung Adult“Blink-Blink” animated softwareblink ratedry eye diseaserandomized control trial

Identifiers

PMID34571605
PMCPMC8597488

What OpenQuestion holds

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Registered trials

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.