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
Pseudoexfoliation Syndrome

Pseudoexfoliation Syndrome

The main problem with pseudoexfoliation is that there is a build-up of flaky material in the angle between the cornea and iris... Most people associate the term “exfoliation” with skin not with the eyes. When something exfoliates it scales off its surface in flakes or layers; we are most familiar with this happening on our arms or legs – after sunburn for example. So picture the shedding of flakes within the eye. This is known as pseudoexfoliation syndrome.

This condition is characterized by small dandruff-like flakes peeling off the outer layer of the lens within the eye. The material accumulates throughout the eye but most noticeably on the edge of the iris (the coloured part of your eye) and the lens. You cannot see the flakes with the naked eye – they are only visible with a slit-lamp microscope in your eye doctor’s office.

The main problem with pseudoexfoliation is that there is a build-up of flaky material in the angle between the cornea and iris which is known as the trabecular meshwork. This can clog the drainage system of the eye leading to open-angle glaucoma. Just as leaves block water from entering a sewer the flakes clog the drainage system and result in fluid backup. It is estimated that 40 - 60 percent of patients with pseudoexfoliation will end up developing open-angle glaucoma.

Typically pseudoexfoliation begins unilaterally (in one eye) but can become bilateral over time. Most patients remain asymptomatic until more advanced glaucoma develops – which is quite a problem since a patient with no symptoms does not know that anything is wrong. At the onset of the condition intraocular pressure is normal but over a short period of time a large percentage of patients develop very high pressure. As a result there may be some peripheral vision loss.

Patients with this condition are usually at least 60 years of age or older. It is most commonly seen in Scandinavians and people from northern latitudes. Pseudoexfoliation tends to go through phases of exacerbation and remission so routine assessment throughout the year is preferable. Otherwise treatment (if deemed necessary) is the same as for open-angle glaucoma. Response to a procedure called laser trabeculoplasty is usually quite good. This process involves energy being directly applied to the trabecular meshwork relieving the clog and increasing the fluid outflow from the eye thereby lowering intraocular pressure. Pseudoexfoliative glaucoma is more resistant to medical therapy (eyedrops) and has a poorer prognosis due to the higher intraocular pressure increased optic nerve damage and visual field defects. However if treated promptly with aggressive therapy it is possible to at least delay the onset or progression of glaucoma.

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