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
Temporal Arteritis (Giant Cell Arteritis)

Temporal Arteritis (Giant Cell Arteritis)

Temporal Arteritis is a chronic inflammatory disease that affects the temporal artery... Most people associate inflammation with joint and muscle pain. They are often unaware that blood vessels in our bodies can also become inflamed (vasculitis) and cause serious complications. The symptoms of vasculitis depend on which blood vessels are involved and what organs in the body are affected. Vision can be threatened when inflamed arteries obstruct blood flow to the eyes and the optic nerve effectively cutting off oxygen. Temporal Arteritis is a chronic inflammatory disease that affects the temporal artery which runs over the temple beside the eye. This disease occurs when the body’s immune system attacks the lining of medium-sized arteries that supply the head eyes and optic nerves with oxygen-rich blood.

Although this condition is relatively infrequent it seems to occur five times more often in women than men and usually affects people over 60 years of age. Some of the symptoms include:

  • strong headache (occurs in nearly 85% of cases)
  • acute tenderness of scalp – it hurts to comb hair wear glasses
  • pain in the temple region can be excruciating
  • vision loss
  • fever and fatigue
  • sore neck and jaw pain when chewing
  • loss of appetite

The major concern with this condition is vision loss. There is usually a sudden and painless loss of vision in one eye first but as many as 50 percent may notice symptoms in the other eye within days especially if it goes untreated. If treated promptly however permanent vision loss can be avoided – but if left too long the eyes and the optic nerve are deprived of essential oxygen and vision damage may be irreversible.

When your eye care practitioner suspects this condition he/she will most likely refer you to your family physician for some blood tests to determine the level of active inflammation in the body. Often a biopsy of the temporal artery is needed to confirm the diagnosis. For this biopsy a small piece of the temporal artery is removed and looked at under a microscope for signs of inflammatory cells.

If temporal arteritis is determined to be the cause of the symptoms then the most common treatment available is oral steroid medications. Steroids reduce the inflammation and most patients find that they improve in a matter of days. In more severe cases a long-term maintenance dosage of steroids may be considered. Once the symptoms reverse and the blood tests normalize the steroid dosage is slowly tapered. Typical treatment usually lasts at least 3-6 months and sometimes goes on for 1 year or more.

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