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
Choroidal Nevus



Choroidal Nevus

Freckles and small moles are right there on the skin and can be checked periodically for any changes in size or color, but a freckle inside the eye isn’t so easy.

Nevus is a medical term for a small, pigmented and slightly raised growth on the skin. These are usually flat and benign; they typically pose no threat to us at all, but in rare cases may begin to change color or grow larger. When or if this happens, most of us know that we need to have the skin growth checked by a dermatologist, a specialist in the skin and its diseases.

Nevi can also form inside the eye, usually within the choroid, the highly vascular and pigmented structure that lines the back of the eye between the retina' (the thin layer that senses light) and the sclera (often referred to as “the white of the eye”). The choroid absorbs light rays so they are not reflected and brings blood and oxygen to nourish the retina.
Typical nevi on the skin; inside the eye they are much more difficult to monitor for changes.

The choroid contains a dark pigment called melanin. Occasionally, the melanin cells clump together and form a mole or freckle in the choroid. In the general population, Choroidal nevi are quite common, but most people who have them don’t know it because the only way to see them is to examine the eye with specialized equipment.

Most of the time, Choroidal nevi do not cause any problems or affect vision at all, but about five percent of them begin to change size and appearance and may become pre-malignant, just like nevi on the skin can. The difference is that the ones on the skin are easy to monitor, but the ones inside the eye aren’t easily visible except by an eyecare practitioner.

During an eye exam, the eyecare practitioner will note any nevi, their size, shape, color and whether they are elevated. In addition, a photograph is sometimes taken of the back of the eye, both to help document the nevus and, sometimes, to show to the person who has it.

There are no symptoms and no effect on the vision by nevi, nor is there any treatment available to remove them. In the vast majority of cases, there is no need, except in the rare cases when they begin to change.

Because they cannot be monitored like freckles on the skin, people who are found to have nevi are asked to see their eyecare practitioner on a regular basis so they can be evaluated. In the case of large nevi, a patient new to the eyecare practitioner may be asked to come back more often to check it, but once the nevus has been shown not to be growing or changing, annual checkups are usually sufficient. Patients should follow the recommendation of the eyecare practitioner and schedule visits accordingly.


 
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