Dr. Shalu Pal

  • "If you want quality and wonderful service, please go to Dr. Shalu Pal! The patience, care, and true concern that Dr. Pal has for her clients is wonderful. "

    --Seleena J
  • " I was pleasantly surprised by finding a hidden gem within Dr. Pal's office"

    --Naveed
  • "Finally a doctor who is extremely knowledgeable, patient and explains things clearly. She is a wonderful human being who really takes the time to care for your needs. The office has a wonderful atmosphere and the staff are just as helpful as Dr. Pal. "

    --Mikail
  • "I couldn't ask for a better Optometrist. She is a delight to deal with, very patient, helpful and extremely knowledgeable. She was very good with my kids who can be very fussy at times.. And who could ask for a more beautiful location. Highly Recommend! "

    --Natalie M.
  • "My wife and I, highly recommend Dr. Pal. The staff, the service, the merchandise, are all top notch. They really make you feel welcomed. It has been several years since I have been able to see this well !!! You and your staff are the best !!!! "

    --Steve and Maria L.
  • "We barely go to optometrists so when we do, we should look for the best! I am super pleased I chose Dr. Pal\'s office. They were helpful from beginning to end, from booking on the phone to my actual visit. Dr. Pal was very detailed and went in-depth about my eye health. She is very patient and made me feel calm. The optician helped me pick a great pair of glasses, they were genuinely friendly which is a huge bonus."

    --Ahmad S
  • "I have been going to Dr. Pal for several years now. My most recent visit on June 6, 2016 was the best experience there that I have ever had. Firstly, the women on the desk were friendly and efficient - a very good prelude to my examination. Dr. Pal, herself, was, as usual, very thorough and encouraging in her examination. And she puts you at ease before we get into the eyes examination by discussing other things in life. That helps to ease any stress I may have. And they now have a man in the office who does that difficult examination (name of which I do not know!). He is so patient and encouraging and made the exam not so difficult for me this time. After all that, I saw Dr. Pal again before I left and she told me my eyes were good! Even had the news been not so good, I believe that I would be able to handle it because I truly believe that Dr. Pal and her staff would have taken good care of me. I will always go back to Dr. Pal and members of her team because I truly believe"

    --A. Howlett
  • " I have been to a few appointments at Dr. Pal\'s office over the last year for dry eye issues and every time it has been a very positive experience. The 3 receptionists at the front desk are warm and friendly. They are attentive and provide a very high level of customer service. I appreciate that they call me by name and remembered conversations we had at previous visits. I find Dr. Pal to be an excellent practitioner who is very thorough with her exams, has a lovely personality and takes the time to answer any and all questions that may arise. I am happy with the computer glasses I purchased and value the honest opinions I received from the staff when selecting frames. It was refreshing to have multiple opinions on styles and I felt they truly wanted me to walk out with a frame that was best suited to me. I highly recommend Dr. Pal \'s office! As a health care practitioner myself, I think all health care experiences should be this personilzed and friendly!"

    --A. Mclean
Punctal Plugs


Punctal Plugs

The entire in-office procedure is painless and usually takes only a few minutes. As strange as it sounds just picture a healthy eye as a full sink with tears (instead of water) reaching up to the rim. Dry eye syndrome (DES) occurs when your eyes fail to produce the necessary quality or quantity of tears to protect and preserve the ocular surface. In this case the sink would be pretty empty. Those with DES do not have a sufficient amount of tears to adequately bathe the eyes and therefore often complain of irritated scratchy stingy and/or red eyes. In severe cases many even suffer from decreased visual acuity and fluctuating vision. Some patients will also complain of watery eyes which can be the result of the eye s attempt to replenish its inadequate tear supply.


In DES patients the problem is that an insufficient amount of tears remain on the surface of the eye. Usually initial treatment for dry eye is the use of eye lubricants or drops to replenish the lost tear film. These often need to be instilled from four to six times a day depending on the severity of DES. In some cases drops or ointments do not provide enough relief from dryness. In these situations your doctor may want to perform punctual occlusion. Puncta are the little openings on your eyelid margin that carry away excess tears into the tear ducts. If you look closely along the upper or lower eyelid margin about midway between the center of the eyelid and your nose you ll see a little white bump with a hole in it. There are two tear drainage ducts for each eye.

Punctal plugs provide a temporary or semi-permanent means of occluding the puncta allowing for the conservation of tears. Considered only in patients with moderate to severe dry eye punctal plugs reduce the outflow of tears and help keep the surface of your eye moist and lubricated. Think of a plug in the drain of a sink – the plug acts as a stopper so that the water has no place to go. It is the same thing with tears. As a result your natural tear film bathes the eyes for a longer period of time.

To determine the effectiveness of punctual occlusion a temporary collagen plug is inserted into one or both puncta in each eye. These dissolving plugs can last anywhere from 5 days to several months depending on the type used. If this proves successful patients may then be offered semi-permanent or permanent forms of punctual plugs. In most cases a small soft silicone plug about the size of a sesame seed is non-surgically inserted into the punctal opening. The entire in-office procedure is painless and usually takes only a few minutes.

If you think you are suffering from DES or feel that your ointments or eyedrops aren’t supplying enough lubrication contact our office about the latest punctal plug options.

 
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