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
Ocular Rosacea


Contents

Ocular Rosacea

Overview

Ocular rosacea is associated with a chronic skin condition known as rosacea or acne rosacea. This common problem usually affects those with light skin and in the early stages is characterized by redness and bumps concentrated on the forehead nose and cheeks. One of the earliest symptoms of rosacea often experienced during puberty is facial flushing. Flushing for any reason is liable to bring on an attack of redness and pimples. Even people who are being treated for rosacea can relapse if they flush. The following triggers can set it off:

  • strong emotional reactions,like embarrassment or anger
  • hot drinks
  • alcoholic beverages
  • stress
  • sunlight
  • extreme hot and cold temperatures
  • vigourous exercise
  • menopause
  • some medications

Eventually the skin may become chronically red irritated and inflamed. The most severe cases go on to develop rhinophyma the thickening of the skin and connective tissues of the nose often resulting in some facial scarring. Women are affected more often than men but men tend to have more severe symptoms

Approximately 60% of patients with rosacea develop ocular rosacea. These patients most commonly experience irritation of the lids and eye occurring when the oil-producing glands of the lids become obstructed. Styes blepharitis dry eye and chronically bloodshot eyes are also typical conditions. Sometimes scales and crusts can form on the eyelids; there may also be sensitivity to light or blurry vision. In severe ocular rosacea there may be corneal ulceration which if untreated may even lead to corneal scarring. This is a potentially blinding complication.

Detection and Diagnosis

Ocular rosacea is diagnosed by an overall examination of both the facial skin and eyes. Eye care practitioners also frequently use a biomicroscope which allows the detection of tiny visible blood vessels along the eyelid edge and any plugging of the Meibomian glands – both signs of ocular rosacea. Those with rosacea are frequently under the care of a dermatologist and are referred for treatment to an eye care professional when the patient develops related eye conditions.

Treatment

Patients with this condition should avoid hot drinks spicy foods alcohol or activities that cause body temperature elevation. Care should be taken to protect the skin from UV exposure by using sunscreen with a high SPF factor and wearing hats and sunglasses. Controlling skin inflammation may give marked relief of the eye conditions. Because of this the eye care practitioner and dermatologist often work in tandem to treat the problem. Eye-related symptoms can often be relieved with warm compresses on the lids eyelid scrubs and artificial tears. In severe cases topical and/or oral antibiotics may also be prescribed to reduce symptoms. Tetracyclines are very useful in the management of patients with rosacea not only because of the antibiotic effect but because tetracyclines tend to decrease the thickness of naturally secreted oils thereby reducing the amount of oil produced by the glands. Treatment of rosacea is painstaking and often time-consuming.


 
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