Most Sclerologist simply chart "around the clock". They lift the eyelid of either eye and have the client look straight down.
It's important to watch the iris as the client look straight down to verify that the eye is indeed STRAIGHT DOWN. Some people look off to the side when you say, "straight down". If this occurs, give them something to look at such as a paper on your lap or the cap of your pen so they are looking straight down. This ensures that twelve o'clock in the sclera is twelve o'clock on your chart and your lines are drawn in the right zone.
Chart the lines in that quadrant according to their "o' clock" points of origination and termination.
Then have the client look straight up ensuring the six o' clock sclera area is exposed directly at the bottom of the eye. Chart the lines in that quadrant.
Then have the client look straight left and straight right and chart the lines in those quadrants for each eye.
Occasionally you'll need to verify a line that falls in between the quadrants (i.e. 2:00, 4:00, 8:00, 10:00). Just hold your pen up where you want the client to look and keep looking while you verify a line or chart its actual pathway.
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