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




Blepharochalasis is a condition that affects the eyelids as they lose their natural elasticity in the aging process. Fluids can build up in the tissues of the lower lids and cause them to sag, and the upper lids to droop, sometimes to the extent that they may cover part of the visual axis, or line of sight. However, it is also seen in younger people, typically during puberty or who are in their early 20s.

In figure 1, we see a typical appearance of blepharochalasis; note especially how the upper lids have begun to cover the upper pupils of each eye. When the visual field is compromised, as it would be in this patient, surgery to correct the problem would be considered medically necessary and not cosmetic.)

Pronounced “Bleff-ah-roh-shah-lay-sis,” this condition in younger people may be due to a genetic issue or an internal condition; some suspected triggers include kidney and vertebral abnormalities, although neither of these has been shown conclusively to be at fault. It can affect only one eye or both.


In older people, the process is gradual and is usually benign, unless the upper lids cover the line of sight. In younger patients, the eyelids go through periods of swelling and deflation, each bout lasting a few days. Blepharochalasis can also cause entropion, where the eyelids turn inward or where the eyelashes then scratch the surface of the eye and cause scratching and irritation. Another possible effect is the sagging of the lower lid away from the globe, known as ectropion that can cause problems with drainage of the tears, which then spill over and irritate the skin. Ptosis, the medical term for drooping eyelids, also causes a cosmetic problem.


Even in the absence of ptosis, eyelid skin repair is a priority, particularly in young people, but also for older patients. The most common type of surgery is called blepharoplasty, also called a “lid lift,” where small incisions are made along the natural wrinkle or crease lines and excess skin and fatty tissue are removed. The result is a tighter, more elevated eyelid.

For short term help, cold compresses over the eyelids help reduce swelling and inflammation. In more severe cases, oral anti-inflammatory medications may be prescribed in addition.

(Figure 2 shows a schematic of blepharoplasty, the surgery to remove excessive fat deposits from the skin surrounding the eye.)

When the eyelids droop over the line of sight, simple tests in the eyecare practitioner’s office will confirm this. Most medical insurance plans will generally cover the blepharoplasty to correct it, as the surgical procedure is then judged to be medically necessary and not just cosmetic surgery.


If you experience any eyelid problem, see your eyecare practitioner right away. While blepharochalasis is not necessarily an urgent matter unless the lashes are scratching the eye, it should still be evaluated to rule out other possible lid conditions.

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