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



A pinguecula (pin-gwek-u-la) is a benign, yellowish-whitish nodule or small plaque that develops on the conjunctiva, the clear skin that covers the insides of the eyelids and the whites of the eyes, as a result of ultraviolet light exposure.

This photo shows a pinguecula on the white of the eye in the nasal cornea. The pinguecula is yellowish in color and raised slightly, which can interfere with the smoothness of the tears on the surface.

Most people know that ultraviolet (UV) light is harmful to the skin in the form of increased wrinkling, premature aging, sunburn and several forms of skin cancer. However, UV is also harmful to the eyes. Most of the damage caused by UV light occurs gradually and is irreversible.

A pinguecula develops gradually, caused by the degeneration of the connective tissues in the conjunctivia. The damaged fibres are replaced by thicker, yellowish ones, or in some cases, calcified deposits form. Usually, a pinguecula grows on the nasal side of the eye and are found in both eyes. The pinguecula does not effect vision, but rarely, it can progress to become a pterygium, a wedge-shaped growth that can extend over the edge of the cornea.

Pingueculas are common in adults and their frequency increases with age. Overexposure to UV light as well as wind, dust and toxic vapours contribute to these small ocular growths. Smoky environments and dryness can worsen and enlarge pingueculas.

A larger lesion, called a pterygium, is thought to develop in some cases from a pinguecula. Both growths or plaques are thought to be caused by UV light, wind and dry conditions.


Usually, there are no outward symptoms of a pinguecula, except cosmetic concerns. In some cases, the conjunctivia can become red and irritated, which can worsen any dry eye symptoms and irritation, which results in increased awareness and inflammation. The presence of symptoms such as redness, grittiness, burning and stinging can be significant to call attention to dry eye syndrome and inflammation of the eyelids and conjunctivia.


A pinguecula usually does not require treatment, although its presence can signal an eyecare practitioner to diagnose and assess it, along with possible eyelid and conjunctiva issues. The slit lamp microscope, an optical instrument that allows a greatly magnified view of the entire front of the eye is invaluable in evaluating pingueculas, and the tear film to determine if underlying dry eyes could be a factor.

As pingueculas are generally benign, they don’t usually require treatment, but if they cause irritation and inflammation, artificial tears for lubrication and moisture may help alleviate any redness or swelling. Cold compresses twice a day are also helpful.

To prevent progression, protection from UV light with wide-brimmed hats and UV-blocking sunglasses, used consistently, will help prevent worsening of the situation and growth of the pinguecula.

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