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Operating a computer using eye-gaze technology offers unique possibilities for communication, learning, and participation for individuals with severe speech and fine motor impairments and good comprehension of spoken language. However, providing a child with high-tech communication is not enough. In addition to everything that needs to be in place for language to develop–including a stimulating language environment where augmentative and alternative communication (AAC) is acknowledged as the language of the child, motivating and meaningful activities and partners to communicate with, as well as access to appropriate vocabulary at all arenas–children need access to their communication aid on an even more basic, operational level. 1 Eye gaze offers a possibility for operating computerized communication aids when fine motor impairments preclude direct pointing with a finger or a hand. However …