27 28Purpose: to develop and test the sensitivity of an ultrasound-based sensor to assess the 29 viewing distance of visual display terminals operators in real time conditions. 30Methods: A modified ultrasound sensor was attached to a computer display to assess viewing 31 distance in real time. Sensor functionality was tested on a sample of 20 healthy participants 32 while they conducted four 10-minute randomly presented typical computer tasks (a match-33 three puzzle game, a video documentary, a task requiring participants to complete a series of 34 sentences and a predefined internet search). Conclusions: Real-time assessment of the viewing distance of computer users with a non-42