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"

  • "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. "

  • "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


Eyelids act as protective covers for your eyes. Proper closure and blinking of your eyelids is essential for normal ocular health and functionality. Lagophthalmos is the inability to fully close the upper eyelid. It is a form of facial paralysis affecting the obicularis muscle in the eyelid and it usually affects only one side of the face. With incomplete lid closure your eye is constantly exposed to the drying effects of outside air as well as to dust particles and debris. This may result in chronic corneal inflammation (keratitis) and scarring.

When you blink a thin film of tears is constantly bathing your eyes. This tear film:

  • flushes out and washes away any particles that get past your eyelids and lashes
  • provides necessary nutrients and hydration to the cornea
  • protects the corneal surface against infections
  • helps create a smooth corneal surface so vision stays clear and undistorted

With lagophthalmos there is incomplete closure of the lids and the tear film is not evenly spread over the entire corneal surface. As a result your eyes are not being protected and dry eye symptoms including irritation redness and decreased vision can result.

Some people have a condition called nocturnal lagophthalmos otherwise known as “sleeping with your eyes open.” Generally a person with this condition is unable to close their eyes completely when they sleep. As a result there is greater tear film evaporation and exposure to more dust and debris during the overnight hours.

Both types of lagophthalmos can be a result of another condition or incident such as:

  • Bell’s Palsy
  • Trauma
  • Neurosurgery
  • Bacterial Infection
  • Stroke

Lagophthalmos can either be a temporary or permanent condition. If your eye care practitioner estimates that your particular case will last less than six months he/she will most likely recommend a regimen of eyedrops and ointments to keep your eye well-lubricated. Treatment solutions for nocturnal lagophthalmos include applying ointments before bedtime and wearing a protective eye mask at night. If your case is permanent or persisting longer than anticipated then your doctor may consider implant surgery.

The most common procedure for this condition involves the placement of a small thin pure gold weight into your eyelid. This is not a gold filling like in your tooth – it is generally invisible and inconspicuous to the outside world. When it is implanted into your lid the weight will allow gravity to pull your eye closed when your muscles relax. Correspondingly when you tense your eyelid muscle your eyelid will open naturally. This procedure is very simple and usually done on an outpatient basis. Since pure gold is biologically stable and inert it will never break down and can be removed at any time. Without question this is one of the most original and interesting treatments in eye care to date.

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