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"

    --Naveed
  • "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. "

    --Mikail
  • "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
Tearing and Your Baby


Contents

Tearing and Your Baby (Nasolacrimal Duct Obstruction)

Most infants who have a blocked tear duct during the first year of their life will get better without any treatment. Babies enter the world with a cry but they do not begin producing tears until about three weeks later. Tears which are necessary for the natural lubrication of the eyes flow through a series of drainage channels that carry the fluid into the nose.

Babies who have noticeable watering of the eyes – with tears overflowing from the lids onto the cheeks – probably have a blockage in their tear drainage system. This problem is very common occurring in about one in three babies. In 6 to 20 per cent of those babies there are noticeable symptoms. Most cases resolve completely within the first year of life. If not the blockage can be opened with gentle massage or with a simple treatment.


Symptoms of Blocked Drainage

The eyes may water excessively even when your baby is not crying and the eyelashes may have crust and mucous on them particularly in the morning. If there is an infection which can result from the abnormal backup and pooling of tears the eyes may become red and the lids may swell perhaps with a thick yellowish-white discharge. The symptoms of a blocked tear duct may get worse after a sinus or upper respiratory infection. Also they may be more noticeable after the baby has been exposed to wind and cold because these may cause increased production of tears.


What Causes the Tearing?

Tears normally drain from the eyes through tiny tube-like channels called canaliculi which are located under the skin at the inner corner of the eyelids. These channels carry the tears into the tear sac near the side of the nose and then into the tear duct which empties into the nose (that’s one reason your nose runs when you cry).

In most newborns there is a thin membrane covering the tear duct where it enters the nose. This membrane usually opens within the first six weeks of life but in some babies it doesn’t open until much later. In others the membrane needs some help becoming unblocked.

Treatment

Most infants who have a blocked tear duct during the first year of their life will get better without any treatment. But you can help speed up the process by massaging carefully over the tear sac. If excessive mucous production or eye infections accompany the tearing antibiotics may also be prescribed.

How to massage: Find the tear sac by placing your index finger firmly on the inner corner of the baby’s eyelids near the nose. You will feel a ridge of bone under your finger. Press down gently but firmly toward the nostril and hold it (do not rub) for 3 to 4 seconds. Do this three or four times a day making sure your hands are freshly washed and fingernails are short. If you do not understand these instructions someone in the office will go over them with you.


What Is a Probing?

If the tearing problem does not improve after allowing sufficient time for the natural opening process and the massaging to work or if your baby has frequent eye infections the tear duct may need to be probed. This procedure involves a thin metallic rod being gently slipped into the tear duct and pushed through the membranous block. The probe acts like a pipe cleaner to remove the obstruction.

This is a painless minor procedure that usually takes less than five minutes. If your baby is older than six months the procedure will probably be performed in the hospital operating room since general anesthesia may be needed to keep the baby from moving while the delicate channels near the eyes are being probed.

Except for the time in the operating and recovery rooms you will be able to stay with your baby and he or she can go home with you the same day. Occasionally a baby develops a mild nosebleed after returning home. If bleeding is any more than a few drops please call the office right away. Probing is about 90 to 95% effective and is an extraordinarily safe procedure. For those few infants in which probing fails a second probing may be attempted or silicone tubes may be placed in the tear duct until an open passageway is secured usually about three to six months after placement.


Prognosis

The majority of obstructions will open spontaneously by the time your baby is one year old. If this is not the case nasolacrimal duct probing is usually performed. This procedure is generally quite safe and can often provide an immediate cure. In a very small number of babies it may not work because of some other abnormality of the tear drainage system. In that case additional procedures will be required to allow tears to drain properly. If any type of surgical procedure is recommended for your baby the risks present with any surgery and anaesthesia will be carefully explained to you along with the potential benefits. Fortunately tearing problems are almost always managed simply and successfully. Being born with a blocked tear duct does not mean that a baby will have other congenital eye problems.


 
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