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
Floaters Flashes and Spots


Contents

Floaters Flashes and Spots

Overview

In most cases floaters flashes and spots are more irritating than harmful. They appear as shapes such as circles lines or cobwebs that float or flash before your eyes. Floaters are actually shadows cast on the retina by irregularities within the jelly-like substance inside of the eye called the vitreous humor. They can develop during embryonic development or you can acquire them over time.

For most people floaters come with age because the transparent semi-gelatinous vitreous humor thickens and clumps as we grow older. The floaters result from the clumped vitreous. Nearsighted people tend to experience floaters more often than do farsighted people in addition to those who have undergone cataract operations laser surgery or inflammation in the eye. Pregnancy high impact jarring activities and sports blows to the head and eye injuries can also cause floaters. The appearance of new floaters may be an indication of degenerative changes of the retina or changes to the liquid in the cavity of the eye. New floaters especially when accompanied by flashes of light or fleeting white pinpoints may suggest retinal tearing or detachment diabetic retinopathy abnormalities in the arteries of the neck or other vascular irregularities. If you suddenly see new floaters it is prudent to contact your eyecare practitioner immediately. A thorough examination is needed to rule out the dangerous causes before they can be deemed benign.

Symptoms

A sudden decrease of vision accompanied by floaters a veil that obstructs vision a sudden increase in floaters or the appearance of flashes of light in the peripheral field of view warrants an immediate visit to your eyecare practitioner. If unsure about seeing floaters occasionally look at a blank wall or plain background for spots that move or stay suspended in one place. Migraine headaches sometimes follow flashes and occasionally floaters. These specific floaters differ in that they usually twinkle they remain in the same place in the visual field even with head movements and they tend to expand in size over the course of 15-45 minutes before disappearing.

Treatment

If the floaters are bothersome it may help to look up and down and from side to side to move the floaters away from your line of vision. No surgical procedure can remove floaters but they often fade over time. Flashes caused by the vitreous pulling away from the retina are a normal part of aging. The flashes should settle in a few weeks or months. A sudden increase in floaters or flashes that last for more than fifteen minutes requires immediate attention as it may be due to retinal damage. The retina can tear and pull away from its backing causing the appearance of flashes or lightening streaks as it does so. If retinal damage is untreated a small tear can progress into a full retinal detachment where a greater area of the retina pulls away from its backing. The retina is composed of nerve cells which are light receptors. Each one of the cells is attached to the layer below the retina. As these cells come away from the underlying layer during a detachment each cell ceases to transmit light information to the visual centre of the brain and vision in that area is lost. If not reattached within 24 hours this loss becomes permanent. With early detection surgery is the only way to attempt to repair the retinal damage. It is rare for floaters and flashes to completely cloud vision but should this happen a vitrectomy operation may be necessary. To improve visual clarity a clear saline solution replaces the vitreous natural fluid.

 
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