Evidence map›Paper›PMID 41266739›Full record

ArticleNPJ digital medicine2025

A smartphone-based blink training application for alleviating dry eye signs and symptoms.

Zhiqiang Xu, Jiahui Shen, Meimin Jiang, Yuzhou Wang, Yiran Sun, Fan Lu, Liang Hu

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
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

7 authors.

Zhiqiang Xu *National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jiahui Shen *Departamento de Inmunología, Oftalmología y ORL, Facultad de Medicina, Universidad Complutense de Madrid (UCM), IdISSC, Madrid, Spain.
Meimin JiangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yuzhou WangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yiran SunNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Fan LuNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. lufan62@mail.eye.ac.cn.
Liang HuNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. huliang@eye.ac.cn.

Funding

Wenzhou Social Development (Health Care) Science and Technology Project ZY2020010Zhejiang Key Research and Development Project 2023C03106Zhejiang Provincial Natural Science Foundation of China No. LGF22H120014
6 · The paper itself

Abstract

Dry eye disease (DED) is exacerbated by prolonged screen use, partly due to reduced blink frequency and a higher percentage of incomplete blinks (IB). In this prospective, randomized study, we assessed whether a smartphone‑based blink‑training application alleviates the signs and symptoms of DED. Forty participants were randomly assigned to either an intervention group that used the application or a control group without intervention, and they were followed for 30 days. Primary outcomes were Ocular Surface Disease Index (OSDI) score, blink rate (BR), percentage of IB, Ocular Protection Index (OPI), and tear‑film stability. After 30 days, the intervention group showed significant improvements in blink behavior and ocular surface parameters, whereas the control group showed no meaningful changes. Generalized estimating equations indicated that training duration, OPI, BR, and sex were independently associated with changes in the OSDI scores. These findings suggested that a simple, app‑based behavioral intervention yields measurable benefits for DED management and provided a scalable, cost‑effective strategy for ocular health preservation in digital environments.

Identifiers

PMID41266739
PMCPMC12635133

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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.