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
Congenital Esotropia



Congenital Esotropia

Esotropia refers to the inward turning of the eye toward the nose. The term for misaligned eyes of all types is “strabismus.” A misalignment that is present all the time is constant; when present only part of the time it is intermittent. In some cases of esotropia the same eye always does the deviating while in others the eyes may alternate. Alternating esotropia can be quite confusing to parents trying to figure out which eye is the straight eye.

Strabismus may be caused by the unequal pulling of muscles on one side of the eye or paralysis of the ocular muscles. Some newborns appear to have crossed eyes due to a lack of developed vision but this disappears as the child grows. True strabismus does not disappear.

The true infantile or congenital esotropia is a large turn of the eye(s) which is easily noticed. Congenital esotropia is the most common form of childhood strabismus; although the name implies that estropia is present at birth in many cases it develops within the first six months of life. It is well recognized that congenital esotropia persisting through six months of age rarely if ever resolves spontaneously and therefore requires surgical correction. This condition occurs in one to two per cent of children and the cause is unknown. It is thought however that the problem is the brain’s inability to coordinate the movement of the eyes (which are themselves completely normal).

What Should I Do if My Child Has Congenital Esotropia?

Children do not outgrow this condition. Before surgery is performed other factors must be considered. If amblyopia (“lazy eye”) has developed in one eye this poor vision must be treated right away. This is accomplished by patching the better eye to force the brain to use the eye with poorer vision. Though this will not correct the eye crossing it will equalize the vision which improves the prognosis for a successful outcome from surgery. The presence of farsightedness must also be detected prior to an operation.

Eye care practitioners usually recommend surgery on children between six and 14 months of age. Older children with congenital esotropia need both surgical intervention and vision therapy if the turn is large. Though it may sound like a drastic measure there are many benefits to the surgery:

  • There will be an immense improvement in your child’s physical appearance resulting in increased confidence as he/she grows older.
  • If the surgery is not done “binocular vision” (the ability of the brain to use two eyes together) does not develop properly. Treatment after age two decreases the prognosis for re-establishment of binocular vision. The chances of developing it with surgery alone diminish with age.
  • It allows for the development of brain-eye communication leading to increased depth perception fine motor skills and the maintenance of good eye alignment.

Even after surgery close follow-up is necessary. For several months and even years following the surgery there is the possibility of complications. These include vertical misalignments (eyes pointing up or down) recurrent eye crossing and/or amblyopia.

 
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