Convergence Insufficiency Symptom Score Calculator-Children's Eye Wiki

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====== Convergence Insufficiency Symptom Score Calculator ======

<button type="primary" size="sm">[[ciss_calculator|Reload Calculator]]</button>

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<html>
    <head>
        <title>Convergence Insufficiency Symptom Survey Calculator</title>
        <link rel="stylesheet" href="style.css">
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
        <link href="https://fonts.googleapis.com/css?family=Noto+Sans|Roboto+Mono&display=swap" rel="stylesheet">
    </head>
    <body>
     <!--Questions 1 to 15-->
        <div class="Survey">
            <h3>Questions</h3>
            <div class="question1">
                <label for="q1">1. Do your eyes feel tired when reading or doing close work?</label>
                <select id="q1" name="q1">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select>
            </div>
            <br>
            <div class="question2">
                <label for="q2">2. Do your eyes feel uncomfortable when reading or doing close work?</label>
                <select id="q2" name="q2">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question3">
                <label for="q3">3. Do you have headaches when reading or doing close work?</label>
                <select id="q3" name="q3">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question4">
                <label for="q4">4. Do you feel sleepy when reading or doing close work?</label>
                <select id="q4" name="q4">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question5">
                <label for="q5">5. Do you lose concentration when reading or doing close work?</label>
                <select id="q5" name="q5">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question6">
                <label for="q6">6. Do you have trouble remembering what you have read?</label>
                <select id="q6" name="q6">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question7">
                <label for="q7">7. Do you have double vision when reading or doing close work?</label>
                <select id="q7" name="q7">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question8">
                <label for="q8">8. Do you see the words move, jump, swim or appear to float on the page when reading or doing close work?</label>
                <select id="q8" name="q8">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>   
            <div class="question9">
                <label for="q9">9. Do you feel like you read slowly?</label>
                <select id="q9" name="q9">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question10">
                <label for="q10">10. Do your eyes ever hurt when reading or doing close work?</label>
                <select id="q10" name="q10">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question11">
                <label for="q11">11. Do your eyes ever feel sore when reading or doing close work?</label>
                <select id="q11" name="q11">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question12">
                <label for="q12">12. Do you feel a 'pulling' feeling around your eyes when reading or doing close work?</label>
                <select id="q12" name="q12">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question13">
                <label for="q13">13. Do you notice the words blurring or coming in and out of focus when reading or doing close work?</label>
                <select id="q13" name="q13">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question14">
                <label for="q14">14. Do you lose your place while reading or doing close work?</label>
                <select id="q14" name="q14">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
            <br>
            <div class="question15">
                <label for="q15">15. Do you have to re-read the same line of words when reading?</label>
                <select id="q15" name="q15">
                  <option value="" disabled selected>Choose a response</option>
                  <option value="0">Never</option>
                  <option value="1">Infrequently</option>
                  <option value="2">Sometimes</option>
                  <option value="3">Farily Often</option>
                  <option value="4">Always</option>
                </select> 
            </div>
        </div>
        <!-- Calculate button -->
        <br><br>
        <button onclick="calculateSum()">Calculate Score</button>
        <br><br>
        <!-- Display result -->
        <p id="result"></p>

        <script>
          function calculateSum() {
            let sum = 0;
      
            // Loop through all 15 questions
            for (let i = 1; i <= 15; i++) {
              const selectElement = document.getElementById(`q${i}`);
              const value = parseInt(selectElement.value, 10); // Convert value to integer
              if (!isNaN(value)) { // Ensure the default option is not included
                sum += value;
              }
            }
      
            // Display the total sum with an extra line
            let resultText = `Total Score: ${sum}<br><br>`;
      
            // Add a message if the score is greater than 15
            if (sum > 15) {
              resultText += "A score greater than 15 suggests Convergence Insufficiency";
            }
      
            document.getElementById("result").innerHTML = resultText;
          }
        </script>
    </body>
</html>
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----
{{:undefined:ciss.xlsx |Download as Excel Spreadsheet}}
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Adapted from:  Borsting et al. Validity and Reliability of the Revised Convergence Insufficiency Symptom Survey in Children Aged 9-18 Years. Optometry and Vision Science 2003;80(12):832-838
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{{tag>calculator convergence}}
calculator convergence