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
Strabismus (general description)

Strabismus (general description) The medical term for crossed eyes is strabismus (strah-biz mus). This condition means that one or both eyes are misaligned. Strabismus may be caused by abnormalities with the eye muscles with the nerves controlling the eye muscles or with the brain where the vision signals are processed. The condition affects an estimated 5 per cent of the population. Strabismus is usually present in children before the age of three.

Crossed eyes can be a sign of a serious illness such as high blood pressure diabetes neurological disorders and thyroid disorders. Thus early diagnosis and treatment are extremely important.

Strabismus is classified according to the direction of misalignment. The three most common types of strabismus are esotropia when one eye is turned inward toward the nose exotropia when one eye is turned outward toward the ear and hypertropia when one eye is turned upward.



Esotropia is the most common form of strabismus. The two most prevalent causes of esotropia seen in children include:

Infantile Esotropia

Most infants look periodically crossed-eyed for the first three months as they are learning to focus. Infantile esotropia becomes obvious when the child s eyes remain misaligned or crossed after the age of six months. The cause is unknown but there is evidence that suggests a genetic basis. The in-turn of the eye is quite noticeable and there are often symptoms such as twitching eyes swinging eyes when gazing in certain directions and having one eye turned in all the time while the other eye looks in all directions. If the latter is the case the infant is in danger of developing a lazy eye or amblyopia. When the eyes are not aligned the brain receives two different images resulting in double vision. To avoid this a child s brain can suppress one image. Amblyopia results if vision from one eye is consistently suppressed and the other eye becomes dominant. Almost half of children with strabismus develop amblyopia.

Accommodative Esotropia

This condition occurs in children who are very farsighted. Their eyes cross because of difficulty focusing on nearby objects. This is especially apparent when children are concentrating on close material. The problem usually presents itself when children are about 2.5 years old with a range of 6 months to 7 years. A genetic history of this condition is common.


Sometimes an infant looks crossed-eyed when no strabismus is present. Known as pseudo-esotropia the illusion of crossed eyes in an infant usually occurs when there is a noticeable skin fold that covers the inner whites of the eye. The flat broad nasal bridge of many infants adds to the crossed eyed appearance. As the infant grows the skin folds disappear and the illusion of crossed eyes passes.


In contrast to esotropia exotropia is an outward turning of an eye. It often occurs intermittently especially when a child is ill tired daydreaming or focusing on distant objects. The symptoms include misaligned eyes decreased vision and sensitivity to light.


The third common type of strabismus hypertropia occurs when the eyes are vertically out of alignment. One eye turns upward relative to the opposite eye. Partial paralysis of one of the eye muscles either elevates or depresses the eye. A person can be either born with hypertropia or acquire the condition.


Strabismus cannot be prevented. However complications of strabismus can be prevented with early detection accurate diagnosis and proper treatment. Children should be seen by an eyecare practitioner before their third birthday.

Treatments vary depending on the type of strabismus and the severity of the condition. Eyeglasses and vision therapy are used to improve vision in the weaker eye. In order to force children to use their suppressed eye eye patches can be placed over the stronger eye or eye drops can temporarily blur the vision in the stronger eye. Exercises can strengthen specific eye muscles.

Surgery can also be performed to loosen or tighten specific eye muscles. This allows the eyes to realign themselves. However sometimes the surgical effects are only temporary and surgical intervention must be repeated.

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