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. 2014 Jul 15;7(4):178–192. doi: 10.1016/j.optom.2014.06.005

Table 3.

Characteristics of 11 questionnaires obtained in the review.

Questionary
(developed by)
Number of studies which used the questionnaire Dysfunction Target poblation No items far visión No items near vision Characteristics Score system Type of validation
Convergence insufficiency symptom survey (CISS V-15)
(Borsting E, 200348)

218,13–16,19,20,23,25–27,29,32–35,43–46,48
CI Children and Adults 0 15 15 questions, each of them specific of one symptom.
Liker scale of 5 response choices
Each item scored between 0 and 4
Total score ranged from 0 to 60 points.
A total score ≥ 16 is related with symptoms associated with CI
ROC analysis to test the ability of CISS V-15 questionnaire to discriminate between CI and NBV groups



19 Item college of optometrists in vision development quality of life
(COVD-QOL) questionnaire
(Vaughn W, 200642)
418,22,42,47

Visual anomalies Children 1 18 19 questions, each of them is not specific of one symptom, taking up 3 symptoms in the same question.
Liker scale of 5 response choices
Each item scored between 0 and 4
Total score ranged from 0 to 76 points.
A total score of 20 and above is a concern, and further evaluation is indicated



Academic Behaviour Survey
(Rouse M, 200923)
313,24,35 CI Children 0 6 6 questions, each of them specific of one symptom.
Liker scale of 5 response choices
Each item scored between 0 and 4.
Total score ranged from 0 to 24 points



Conlon Survey
(Conlon E, 199966)
328,32,37 Visual anomalies Adults 0 23 23 questions, each of them is not specific of one symptom, taking up 8 symptoms in the same question.
Liker scale of 4 response choices
Each item scored between 0 and 3.
Total score ranged from 0 to 69 points, with 3 groups defined:
Low discomfort: scored 0–24
Moderate discomfort: 25–48
High visual discomfort: 49–69
RASCH analysis



Convergence insufficiency and ready study (CIRS) symptom questionnaire parent version
(Borsting E, 199955)
155 CI Children 0 15 15 questions, each of them specific of one symptom.
Liker scale of 4 response choices
Each item scored between 0 and 3.
Total score ranged from 0 to 36 points.
A total score ≥ 9 indicates more likely to be CI
Sensitivity, specificity and Odds ratio analysis



CISS 16 Items questionnaire
(Borsting E, 20039)
19 CI Children 3 13 16 questions, each of them specific of one symptom.
Liker scale of 3 response choices
Each item scored between 0 and 2.
Total score ranged from 0 to 24 points



Sterner questionnaire
(Sterner B, 200641)
141 AI Children 1 3 4 questions, each of them specific of one symptom Answer with “yes” or “no.”
It is necessary to have the symptom at least occasionally, and not just once



Adler questionnaire
(Adler P, 200249)
149 CI Children and Adults 1 14 15 questions, each of them specific of one symptom Answer with “yes” or “no”



Gallaway questionnaire
(Gallaway M, 200251)
151 CI Children and Adults 0 10 10 questions, each of them specific of one symptom.
Liker scale of 3 response choices
Each item scored between 0 and 2.
Maximum score of 20 points



Birnbaum questionnaire
(Birnbaum M, 199956)
156 CI Adults 0 3 3 questions, 1 specific of one symptom and 2 questions are not specific of each symptom, taking up 10 symptoms in the same question Answer with “yes” or “no”



Rusell questionnaire
(Russell G, 199359)
159 AI Children and Adults
0 5 4 questions, each of them specific of one symptom.
1 question of reading ability.
Scale from 0 to 10 points
Of the 4 questions, each item scored between 0 and 100.
The question about reading ability scored between 0 and 10

CI: convergence insufficiency, AI: accommodative insufficiency; NBV: normal binocular vision.