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
Band Keratopathy


Band Keratopathy

Introduction and Overview

Figure 1

The term keratopathy refers to a disease or degeneration of the cornea, the clear, dome-shaped structure at the very front of the eye where light first enters the eye.

This particular corneal degeneration is produced when calcium deposits on the cornea, usually in the area between the eyelids when the eye is in the open position. This is probably because this is the area of the cornea most exposed to the normal atmosphere, where the calcium is more likely to drop out of the tears because it is more concentrated.

(Figure 1 shows the structure of the cornea and its layers. Band keratopathy calcium deposits are located beneath the epithelium and above Bowman's Layer.)

There is usually an underlying cause for the calcium to build up in the tears and deposit on the cornea. Some of these conditions include:


  • Excessive vitamin D intake
  • Kidney failure
  • Lupus
  • Paget's Disease
  • Sarcoidosis

In addition, some ocular conditions that are also associated with band keratopathy are chronic uveitis (also known as iridocyclitis or iritis), juvenile rheumatoid arthritis and end-stage glaucoma. There also seems to be a connection between the use of ocular medications or contact lens solutions containing mercury-based preservatives, as well as exposure to mercury vapor.

Symptoms and Signs

The band of calcium deposits can cause a disruption in vision due to its position across the front of the eye. There is usually a foreign body sensation, more or less severe, depending on the size and quantity of depositing, occasional redness and the band may be visible to others and cause a problem with cosmetic appearance of the eye.

The calcium deposits may be very fine or quite thick and plaque-like; when it is thick, it may flake off and cause scratching of the corneal surface and associated pain.


Treatment of band keratopathy is usually successful, by the physical removal of the deposits from the surface of the cornea, followed, if necessary, by the use of an excimer laser to smooth out any remaining irregularity in the corneal surface. There is risk of complications from corneal debridement therapy, including corneal scarring and vision loss, but the incidence of such adverse events is quite low.

After treatment, a bandage soft contact lens is usually applied to the eye for a period of about one to two weeks.

Patients with band keratopathy should have serum blood tests for calcium and phosphate levels, as well as have their renal function tested.

When this condition causes obstruction of the vision, significant foreign-body irritation or a cosmetic problem, treatment is usually successful. Manually removing the deposits under corneal anesthetic followed by polishing the surface with the excimer laser are usually effective, but the keratopathy will probably recur unless the underlying cause is diagnosed and treated as well.

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