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
Preventing AMD Through Nutrition


Preventing AMD Through Nutrition


Age-related macular degeneration commonly referred to as AMD is a disease in which the tissue in the macula deteriorates. The macula is located in the central part of the retina and is responsible for producing sharp central vision. The exact causes of AMD are still unknown although age and heredity appear to be the dominant factors. This condition can result in severely diminished central vision but peripheral vision remains unaffected. In most cases it is impossible to restore the vision loss caused by AMD. Prevention therefore remains the best way to avoid severe vision loss.

Scientific research suggests that smoking obesity or cumulative exposure to sunlight and its harmful ultraviolet rays causes free radicals to form. This increases the risk of damage done to the body. Free radicals are molecules that form as the body processes oxygen and food. If uncontrolled these molecules can cause cellular damage.

Antioxidants & Zinc

Antioxidants ‘absorb’ free radicals before they harm the body. Carotenoids are a type of antioxidant and the two most effective carotenoid antioxidants believed to combat AMD are lutein and zeaxanthin. These two compounds are the primary components of the macular pigment and because of this researchers believe that when present in high amounts the antioxidants can help prevent the progression of AMD. They accomplish this by:

  • Filtering harmful blue light that might otherwise reach the retina and damage the macula
  • Protecting the retina from damage through antioxidant activity
  • Protecting the blood vessels that supply the macula

Although scientific research has not pinpointed when and in what amounts potentially affected people of AMD should actively increase their dietary intake of antioxidants several studies indicate the benefits of lutein and zeaxanthin. According to the Age-Related Eye Disease Study (AREDS) conducted by the National Eye Institute in the United States a combination of vitamin C vitamin E beta-carotene and zinc can reduce the risk of AMD by about 25 per cent. These same nutrients also reduce the risk of vision loss caused by advanced AMD by about 19 per cent. In another study the results suggested that there is a 43 per cent lower risk of developing AMD among people who have high intake levels of carotenoids. Of the people studied those who had the highest intake levels of lutein and zeaxanthin had a 57 per cent lower risk of AMD1

Exact Dosages (from AREDS study)

Vitamin C – 500 mg Vitamin E – 400 IU Beta-carotene – 15 mg Zinc oxide – 80 mg Cupric oxide – 2 mg

As the body produces neither lutein nor zeaxanthin one must obtain them through dietary intake. Consult your eyecare practitioner to determine if you should obtain these carotenoids primarily through an improved diet vitamin supplements or a combination of both. Lutein and zeaxanthin exist mainly in some fruit and vegetables. The following is a list of foods high in these antioxidants. Raw vegetables have a greater nutritional value than cooked vegetables and green vegetables have a higher concentration of lutein and zeaxanthin. The following is a list of vegetables/fruits recommended:

  • corn
  • fresh parsley
  • red grapes
  • cabbage
  • egg yolk
  • kiwi fruit
  • peppers
  • spinach
  • squash
  • zucchini

Dietary Fats

Fatty foods in processed baked goods can cause the progression of AMD according to a study published by The Archives of Opthamology. The research was conducted by Johanna M. Seddon M.D. S.C. of the Massachusetts Eye and Ear Infirmary and her colleagues. They evaluated the associated dietary fat intake and the rates of progression for AMD in a large elderly population at risk for contracting the disease.

261 patients age 60 or older were studied who had some sign of AMD in one eye. These participants had their AMD progression followed for about five years while their dietary fat intake was monitored on a weekly basis.

The study concluded that a progression of AMD can occur from the ability of fatty foods to constrict blood vessels. The findings also noted that fish and nuts reduced the risk of. the disease progressing. Diets rich in meat and dairy also increase the risk but to a lesser extent than processed baked goods.

Possible Side Effects of Nutritional Supplements

The AREDS participants reported few side effects from the treatments. About 7.5 per cent of participants assigned to the zinc treatments – compared with five per cent who did not have zinc in their assigned treatment – had urinary tract problems that required hospitalization. Participants in the two groups that took zinc also reported anemia at a slightly higher rate; however testing of all patients for this disorder showed no difference among treatment groups. Yellowing of the skin a well-known side effect of large doses of beta-carotene was reported slightly more often by participants taking antioxidants.

Those who smoke should be cautious regarding their level of beta-carotene as there is a link between high levels of beta-carotene and an increased risk of poor health and ocular diseases. If you smoke consult your eyecare provider before choosing a vitamin regimen.

Nutritional supplements play an essential role in the prevention and delay of ocular and systemic conditions. If you are not sure if you are obtaining enough vitamins and minerals naturally you should consider dietary supplements. Several manufacturers have developed ocular vitamins that are rich in antioxidants specifically lutein and zeaxanthin. It is important to note that these nutrients are not a cure for AMD nor will they restore vision already lost from the disease. However they may play a key role in helping people at high risk for developing advanced AMD keep their vision. If you are interested in taking supplements to prevent ocular diseases you should consult your eyecare provider.

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