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




The medical term for the white part of the eye is sclera; the sclera consists of the white part of the eye we see when we look at the eyes of others or ourselves in a mirror, but it also continues completely around the globe itself. The sclera is composed of fibrils of connective tissue which form a strong sheath to lend structure and support to the eye and the tissues it contains. It could be said that the sclera is the part of the eye that keeps the inside in and the outside out, maintaining the integrity of the eye. The sclera is very tough and forms part of the defense system of the eye. There are several layers of tissue that make up the sclera, the outermost one being the episclera.

Episcleritis is an acute inflammation of the upper part of the sclera, most usually the part that is exposed to the air, in one of the corners of the eye.

Inflammation is part of the immune response of the body; it is not an infection, but usually results in redness, pain or achiness and swelling of the tissues involved.


Episcleritis is usually only found in one eye, although it can affect both. The inflammation may be found in the form of a focal area, or nodule, although sometimes it can affect the entire episclera in a more diffuse form.

The eye will be tender to the touch, and be mildly sensitive to light, and there may be some mild pain on moving the eye.

The redness in the eye will usually be in one sector (see illustration) and will be a deeper and more purplish color than the usual small blood vessels in the conjunctiva overlying the sclera.


Most patients with episcleritis have no identifiable underlying illness that could trigger the inflammatory response. A small percentage of cases may be associated with other inflammatory diseases such as rheumatoid arthritis, lupus, herpes zoster, gout, syphilis and Crohn’s Disease.

Episcleritis typically affects young adults. Recurrent episodes are common throughout life.


Most cases of episcleritis will resolve on their own with treatment or without, usually between seven to ten days after initial onset.

Treatment of the symptoms of the inflammation can be used, such as cold packs, anti-inflammatory medications like ibuprofen and naproxen, or topical eye drops containing steroids. Treatment is used to increase comfort, and will have no effect on how long or severe a particular episode may be.

If symptoms are severe, it is necessary to rule out a more serious inflammation involving the entire sclera called scleritis. Scleritis affects the deeper tissues of the sclera and may be characterized by severe pain and intense redness.

Summing Up

Episcleritis is an annoying and irritating condition, but it is usually not serious and will resolve on its own. Treatment is to reduce the symptoms of the inflammation, using cold packs, over the counter medications to reduce swelling and redness and steroidal eye drops if needed to increase comfort until the episode quiets on its own.

Episcleritis can be mistaken for other ocular problems (conjunctivitis or iritis, for example) both less serious and more so; it is therefore important to see an eyecare practitioner to be sure of the diagnosis and to rule out other, more serious conditions.

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