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
Plaquenil Maculopathy

Plaquenil Maculopathy

Plaquenil is an anti-inflammatory medication which helps reduce pain stiffness and swelling in the joints. Sometimes medications prescribed for certain conditions can have adverse effects on other parts of our bodies. A medication known as Plaquenil (hydroxychloroquine sulfate) which is most often used for people suffering from rheumatoid arthritis lupus or malaria can have toxic effects on the eyes.

Plaquenil is an anti-inflammatory medication which helps reduce pain stiffness and swelling in the joints. Although adverse ocular side effects are rare with this medication people who have been on long-term therapy for many years and those who receive high doses are more at risk. Toxicity is also more frequent among those who exceed their prescribed dosage. Unfortunately side effects cannot be anticipated.

Plauquenil toxicity occurs when excessive amounts of the medication begin to accumulate in the macula. The macula is the central area of the retina responsible for fine detail and color vision. When Plaquenil reaches toxic levels in the macula a ring of pigmentation surrounded by a ring of depigmentation is observed during a retinal examination. Unfortunately Plaquenil toxicity is irreversible and in its early stages is usually without symptoms. For these reasons anyone taking this medication on a prolonged basis is urged to visit their eye doctor at least every six months to have a comprehensive eye exam. Older people are more susceptible to macular damage so it is even more important for them to have regularly scheduled eye exams.

Some symptoms include:

  • Blurred vision
  • Abnormal color vision
  • Difficulty adapting to darkness
  • Dim vision (as if someone turned the lights down)
  • Haloes flickering or flashes of light

Any signs or symptoms of toxicity warrant discontinuation of the medication and an immediate visit to the eye doctor. If you keep taking the medication despite appearing symptoms the condition could get worse and even lead to permanent visual loss. Visual disturbances may progress even after you have stopped taking this drug. Although Plaquenil toxicity is a rare complication of treatment should you have any problems with your eyes or blurred vision notify your doctor immediately.

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