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



It is considerably more dangerous to have scleritis which is an uncommon inflammatory condition of the sclera. Imagine the white part of your eye having different layers like an onion. Called the sclera this tough fibrous tissue maintains the round shape of the eye and serves to protect the eyeball from damage. Covering the sclera is the episclera a thin membrane that adds an extra layer of protection. Both the sclera and episclera are susceptible to inflammation. An inflamed episclera is called episcleritis which is generally non-threatening to vision and overall health. It is considerably more dangerous to have scleritis which is an uncommon inflammatory condition of the sclera.

About 50 per cent of patients who have scleritis will have an associated systemic disease. The most common causes are:

  • rheumatoid arthritis (the most frequent cause)
  • lupus
  • ankylosing spondylitis
  • herpes zoster
  • syphilis
  • tuberculosis
  • gout
  • lyme disease

With the 50 per cent of those who do not have an autoimmune disorder the cause of scleritis is generally not known. It occurs most often between the ages of 30 and 60 and is very rare in children.

Those with scleritis usually have severe symptoms including a red eye light sensitivity tearing and sometimes reduced or poor vision. The most distinctive symptom of the condition is severe boring pain in the eye which may spread to the forehead behind the eye or to the cheek. The affected eye often has a bluish hue.

The type of treatment administered depends on the subtype of scleritis of which there are four. Generally the underlying disorder needs to be treated first to halt progression. It usually requires steroids during acute phases and immunosuppressive agents for the long-term. Eyedrops are not effective for this condition though they are somewhat helpful in treating episcleritis (this helps differentiate between the two). If scleritis is not treated immediately it poses the risk of eventually impairing vision in the form of cataracts secondary glaucoma retinal detachment or optic atrophy.

Diffuse Scleritis

This is the most common type of scleritis. It involves large areas or perhaps all or the sclera. Fortunately this is also the most benign form of scleritis and is the most responsive to therapy.

Nodular Scleritis

This type is characterized by immoveable inflamed nodule(s) of a specific area of the eye (hence the name “nodular”). It is very tender and sensitive to touch.

Necrotizing Scleritis

This is the worst form of the disease as it is associated with severe systemic diseases. Often it involves multiple organs as well. An associated type of vascular disease called vasculitis may actually threaten the lives of those afflicted.

This form of scleritis may also occur without inflammation (called scleromalacia perforans) and cause severe thinning of the sclera. The eye is otherwise white and there is no pain. In severe cases and often associated with rheumatoid arthritis it may cause perforation of the globe and the loss of the eye may ensue.

Posterior Scleritis

Approximately four to eight per cent of people with scleritis have this sub-type. Symptoms include poor or double vision severe pain proptosis (“bulging” eye) uveitis and limited eye movement. A most severe side-effect of this subtype is the possibility of an exudative retinal detachment (fluid under the eye) which may cause substantial visual loss.

Until proven otherwise all cases of scleritis should always be considered secondary to systemic disease. Patients suffering from scleritis should be referred for a comprehensive medical evaluation including blood tests and radiology studies where appropriate.

2024 © EyeconX. All rights reserved          Home    |    About Us    |    Media    |    Lens Reorder    |    Our Practice    |    Education    |    Contact Us