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
Pigmentary Glaucoma

Pigmentary Glaucoma: The Metaphor of The Bathroom Sink

A bathroom sink is a good way to illustrate the mechanics of pigmentary glaucoma. Just as the sink drain can become clogged by hair toothpaste and assorted debris the drainage mechanism in the front of the eye can become clogged by the mechanical blockage of pigment cells that have come loose from the iris (the visible tissue that gives your eye color).

Under normal circumstances pigment is not shed inside the eye at least not in large amounts. In certain young usually male near-sighted individuals the iris is bowed backward more than normal causing it to rub up against the tissues that hold the lens in place. This rubbing back and forth causes the pigment cells on the iris to become dislodged and sloughed off into the currents of the clear fluid (aqueous) that circulate in the front of the eye.

These freely floating pigment cells now tend to settle like dust particles on the various tissues inside the eye. The problem arises when they drift to the eye s drainage mechanism. Like the hair in the sink drain the pigment cells can block the flow of fluid from the eye. This can lead to an increase of eye pressure.

Pigmentary glaucoma is usually found in both eyes and appears between the ages of 20 and 40. This type of glaucoma has been found to have an association with the presence of near-sightedness and occurs more frequently in males than in females.

Pigment release - not always a problem

If your doctor finds that you have excess pigment cells that are being sloughed from your iris you are not necessarily headed for glaucoma.

Another condition associated with pigment release is Pigmentary Dispersion Syndrome (PDS). With PDS there is the same type of characteristic pigmentary release but the eye pressures appear to be within normal limits. Many patients with PDS however will go on to develop pigmentary glaucoma with time so your doctor will most likely monitor you closely.

Pigmentary glaucoma can be treated with medications designed to both lower the eye pressure and also to pull the abnormally bowed iris forward hopefully to minimize the dislodging of pigment cells. Whether you are treated or not close monitoring is necessar.

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