A refreshable braille display or braille terminal is an electro-mechanical device for displaying braille characters, usually by means of round-tipped pins raised through holes in a flat surface. Blindcomputer users who cannot use a computer monitor can use it to read text output. Speech synthesizers are also commonly used for the same task, and a blind user may switch between the two systems or use both at the same time depending on circumstances. Deafblind computer users may also use refreshable braille displays.
The base of a refreshable braille display is a pure braille terminal. There, the input is performed by two sets of three keys plus a space bar (as in the Perkins Brailler), while output is via a refreshable braille display consisting of a row of electromechanical character cells, each of which can raise or lower a combination of six (or in some cases, eight) round-tipped pins. Other variants exist that use a conventional QWERTY keyboard for input and braille pins for output, as well as input-only and output-only devices.
On some models the position of the cursor is represented by vibrating the dots, and some models have a switch associated with each cell to move the cursor to that cell directly.
The mechanism which raises the dots uses the piezo effect of some crystals, whereby they expand when a voltage is applied to them. Such a crystal is connected to a lever, which in turn raises the dot. There has to be a crystal for each dot of the display, i.e. eight per character.
Because of the complexity of producing a reliable display that will cope with daily wear and tear, these displays are expensive. Usually, only 40 or 80 braille cells are displayed. Models with between 18 and 40 cells exist in some notetaker devices.
A rotating-wheel Braille display was developed in 2000 by the National Institute of Standards and Technology (NIST) and another at the Leuven University in Belgium. Both wheels are still in the process of commercialization.[clarification needed] In these units, braille dots are put on the edge of a spinning wheel, which allows the user to read continuously with a stationary finger while the wheel spins at a selected speed. The braille dots are set in a simple scanning-style fashion as the dots on the wheel spin past a stationary actuator that sets the braille characters. As a result, manufacturing complexity is greatly reduced and rotating-wheel braille displays, when in actual production, should be less expensive than traditional braille displays.
Designs for a full braille computer monitor have been patented but not yet produced.
A scanning type graphic braille display was developed in 2015 by the Tactisplay Corp.  With 3,072 pixels arranged in 64x48, it can show a graphic image in a few seconds. When USB camera is connected, it starts to show image captured. When connected to LAN, it can be setup to show desktop screen of a PC.