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
Atrophic Retinal Holes

The retina is the thin, light-sensitive nerve fiber layer lining the back of the eye that receives light and visual images through the rest of the eye. It is held up next to the back wall of the eye by the vitreous body, also known as the vitreous humour, a stiff, gelatinous substance. The vitreous is actually attached to the retina in several places, most notably around the periphery of the retina, just in front of the midline equator of the eye, and around the optic nerve head.

Like most tissues in the body, the retina and the vitreous change with aging; the vitreous becomes more liquid-like and may move around inside the eye more and the retina itself becomes thinner and even more susceptible to damage.

Atrophic retinal holes are thought to be caused by these aging changes in both the retina and the vitreous humour. The retina can begin to disintegrate over time, usually out in the peripheral area of the eye, and as the vitreous becomes more mobile, it may bump up against the retina and even become loose from its normal attachment sites.

As the retina thins and forms holes in the periphery, it causes loss of vision, but because these holes are usually small and out in the far peripheral visual field, they are not usually even noticed or require treatment. Unfortunately, this condition may occur along with lattice degeneration, a rather common condition that also causes retinal thinning in the peripheral retina. Patients who have either or both of these conditions are usually asymptomatic and are usually only first diagnosed in a routine pupil dilation done during a regular eye examination.

As the vitreous becomes more liquid-like, it shrinks slightly and may tug on the retina at those sites where it is attached, most notably in a belt-like area around the eye just in front of the equator. This is known as a vitreous detachment, which is quite common and should not be confused with a retinal detachment, which is much more rare and much more serious.

A person with a vitreous detachment may experience small flashes of light from the corner of the eye and an increase in the number of noticeable floaters; the flashes happen because the retinal tissue responds to any stimulus by sending signals to the brain, which interprets any such signals from the retina as light.

Sometimes, patients will develop a vitreous detachment from around the head of the optic nerve in the very back of the eye; these patients will probably also notice some light flashes, this time more towards the center of vision, and begin to notice a ring-shaped or arc-shaped floater, which is caused by small pieces of the retinal tissue coming away with the vitreous. This in itself is not particularly dangerous or uncommon, and requires no treatment, except to see an eyecare practitioner to rule out more serious problems.

Those patients who have other risk factors for retinal detachment (high myopia, or nearsightedness, lattice degeneration, family history) should know the symptoms of it, which include a sudden onset of flashes and/or floaters in the vision, a loss of vision, usually in the lower part of the visual field, or even what looks like a curtain across their vision. These are signs of a possible retinal detachment, which is a sight-threatening emergency. See your eyecare practitioner right away if these occur.

Chances are that the symptoms experienced are from a vitreous detachment or atrophic retinal holes, but for those whose condition progresses to retinal detachment, treatment may include surgery to re-attach the retina and hold it in place, or laser photocoagulation, which is used to surround a retinal hole or detached area with small, pinpoint scars to seal it to the back of the eye again.

Unfortunately, there is very little that one can do on a preventive basis to avoid atrophic retinal holes or lattice degeneration, but regular eye examinations and immediate evaluation of any unusual visual symptoms are the best way to avoid further damage.

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