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
Meibomitis


Contents

Meibomitis

Other causes of meibomitis include acne rosacea and blepharitis.

Overview

Along the margin of the lids there are a series of small sebaceous glands called the meibomian glands. They create and distribute an oily substance called lipids. Meibomian gland secretions help keep the eye moist and protect the tear film from evaporation. Upon blinking the upper lid comes down presses on the oil and pulls a sheet of oil upwards coating the tear layer beneath to keep it from evaporating. Meibomitis refers to dysfunction and inflammation of these glands. Oil production by the glands decreases and the oils that are produced become thicker (looking like toothpaste). The reduction in the quantity and quality of the oily layer causes the tears to evaporate more rapidly and this leads to symptoms of dryness burning and irritation especially upon awakening.

The number one reason for dysfunction of the glands is because they get clogged up. Although there are many reasons why the glands can become clogged one common cause may be hormonal changes - changes in estrogen levels can cause a thickening of the oils. It has been suggested that changes in estrogen levels also cause a proliferation of staphylococcal bacteria that normally thrive on the ocular surface. These bacteria invade the meibomian glands and colonize there. The double trouble caused by the thickening of the oils plus the bacteria gradually decreases the secretion of oils from the glands.

Other causes of meibomitis include acne rosacea (a skin disease where blood vessels of the face enlarge resulting in a flushed appearance) and blepharitis (the inflammation of the eyelids associated with a bacterial infection or generalized skin condition).

Symptoms

The following is a list of possible symptoms:

  • swollen/red eyelid margins
  • dryness and burning
  • blurred vision
  • grittiness
  • frequent styes

Treatment

Meibomitis can be diagnosed during your regular eye examination so there are no special tests required. Depending on the severity of the condition treatment usually consists of both topical and oral antibiotics (usually tetracycline doxycycline or erythromycin) to help break down the thickened lipid secretions. Moreover in order to help restore the function of the meibomian gland you have to keep the oily secretions from solidifying. Warm and moist compresses used 2-3 times a day help melt the lipid “plug” and allow the antibiotics to penetrate the meibomian glands. Lightly massaging the lids with the warm compress will also help to express the solidified oils out of the duct. Another technique in the treatment of meibomitis is the daily use of special eyelid scrubs to reduce debris on the lids and help unclog pores.

Dietary Supplements to help treat Meibomitis

Current research about diet supplementation with Omega-3 fatty acids indicates that they can stabilize inflammation and help restore normal meibomian oils. Omega-3s are essential fatty acids that your body can’t produce – your body must obtain them from your diet. Unfortunately the North American diet is deficient in Omega-3s. The two best sources for Omega-3 fatty acids are fish oil and flaxseed oil. Studies have shown that people with meibomitis when given Omega-3 supplements experience an improvement in the oil layer covering their tear films. Moreover they decrease the inflammation of meibomitis which results in relief from eye irritation upon waking in the morning.

 
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