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"

    --Naveed
  • "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. "

    --Mikail
  • "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
Central Serous Retinopathy


Contents

Central Serous Retinopathy

Introduction

When fluid accumulates in the choroid, the vascular structure located between the retina and the sclera, it may cause the retina to be distorted or raised up from its normal position where it is smoothly lining the inside of the eye. The term serous refers to the fluid, and retinopathy is used to describe any abnormality of the retina.

In central serous retinopathy (CSR) fluid builds up in the area behind the central part of the retina, which then seeps in between the layers and causes them to separate; some of this surplus fluid may also leak into the area of the macula, which we use to get fine details and color vision.

Technically, it may be correct to think of serous retinopathy as a type of retinal detachment, because the retina is pushed away from its normal position where it stays flat against the back of the eye.

Symptoms and Signs

When the fluid accumulates, it may cause any or all of these bothersome symptoms:

  • Objects appear to be distorted, miniaturized or magnified
  • Decreased clarity of central vision
  • Color vision disturbances
  • Blind spots
  • Metamorphopsia (shape distortion) of objects
  • Dim vision
  • Poor night vision

Unlike other retinopathies, CSR does not have a specific cause, and in fact, the exact cause is unknown. Many cases seem to be associated with high stress levels, so that people who are widely described as having “type-A” personalities are at higher risk. However, CSR can also occur in pregnancy, so there might be a hormonal cause, which is corroborated by the fact that it can also come as a side effect of medication, especially after high doses of steroids like cortisone. CSR is also occasionally seen after a viral illness accompanied by high fever.

CSR usually affects more males than females between the ages of 20 and 50. Females are seen to have CSR at a lesser rate, and usually between 40 and 50 years of age. Duration of CSR is variable, but most cases resolve without treatment within three to four months. It usually effects one eye only, and be present only very rarely in both eyes at the same time. Recurrence is common, too, and there may be residual symptoms like decreased contrast sensitivity, poor night vision and visual distortions.

Treatment

If symptoms persist longer than three to four months, or if CSR recurs often, there is one effective treatment called laser photocoagulation. The laser is used to seal off leaking blood vessels and repair any tears in the retinal tissue. While this does not cure CSR, it does seem to shorten the active phase of the condition and slightly lowers the recurrence rate of an episode.

Conclusions

Central Serous Retinopathy is one of those mystifying conditions that seem to defy our abilities to find either cause or cure.

The best advice is to see an eyecare practitioner right away if any of the listed symptoms above occur and follow his or her advice. It may require patience to wait it out, or, the eyecare practitioner may advise laser photocoagulation, although this can be difficult in a condition that is still developing new leakages.

 
2021 © EyeconX. All rights reserved          Home    |    About Us    |    Media    |    Lens Reorder    |    Our Practice    |    Education    |    Contact Us