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
Glaucoma - Open Angle and Closed Angle

Glaucoma - Open Angle and Closed Angle

One frequently sees the term angle used in reference to glaucoma. In this context angle refers to the eye s internal drainage mechanism.

As mentioned elsewhere a nutrient-rich clear fluid is constantly being produced in the front part of our eyes. The fluid also known as aqueous circulates nourishing the internal tissues before being drained from the eye. The actual drainage opening for the aqueous is formed by the juncture of the cornea and the colorful iris.

This drainage angle in the eye can be illustrated by visualizing an ocean clam that s right a mollusk. The degree to which a clam is open or closed depends on the angle formed between its upper and lower shells. When the clam is cracked open only a small amount for the sake of illustration think of this opening as a narrow angle . Likewise if the clam is wide open think of it as an open angle .

In the eye the cornea and iris represent the upper and lower clam shells respectively. At the point where these two tissue layers join together an angle is formed....the drainage angle. In most people this tissue angle is wide open (think of the open clam) and the aqueous fluid has the opportunity to flow out of the drain unimpeded. However in a smaller percentage of the population the drainage angle is very narrow or nearly closed so the drainage of the aqueous becomes problematic. In this case the eye pressure can rise.

Nearly everyone is born with a wide open drainage angle but the angle tends to become shallower with age. Also the drainage angle is characteristically smaller in individuals who are far-sighted. The growth of a cataract (refer reader to Cataracts and Eggs link) will cause the angle to become narrower with time. The removal of a cataract tends to restore the angle to its wide-open status.

Open-angle glaucoma is the most common form of the disease. One might ask: If the drain is wide open why is there a problem? This would be an excellent question. For reasons not completely understood even though the drainage angle is wide open in these open-angle glaucoma patients the aqueous drainage is not effectively controlled and the eye pressure goes up.

In narrow-angle glaucoma the drainage opening is typically very small (visualize the clam shell being open only a tiny amount) thereby making it difficult for the aqueous to drain from the eye.

It is even possible for the drainage angle to close completely permitting very little if any aqueous to drain from the eye. When this happens the eye pressure can skyrocket to dangerously high levels. This is considered an emergency crisis and requires immediate intervention. Fortunately this angle- closure attack is relatively rare. But when it does happen the individual can experience a great deal of pain and could suffer permanent vision loss if not attended to immediately.

What can be done?

Your doctor will assess the status of your drainage angle. If your eye pressure is too high and you have an open angle it s likely that the treatment will focus only on lowering the pressure to a safer level. If your drainage angle is dangerously narrow your doctor may suggest that a precautionary laser procedure be performed in order to facilitate the drainage of aqueous and prevent the pressure from becoming too high.

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