"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. "
" 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!
"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."
"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"
" 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!"
Papilledema is an ocular condition that causes swelling of the optic nerve. It is commonly bilateral, affecting both eyes, affects both sexes equally, can occur at any age, and is most commonly caused by increased pressure in the brain. Each optic nerve transmits visual impulses from the retina and transmits the nerve impulses to the brain. The optic nerve is covered by the same protective sheath or linings that cover the brain and spinal cord. This sheath is regarded as a continuation of the central nervous system and part of its function is to bath the tissue it lines with cerebrospinal fluid (CSF). As a result, brain diseases that cause an increase in CSF pressure can also cause an increase in fluid pressure in the optic nerve. When papilledema is found it can also indicate the presence of intracranial hypertension. Intracranial hypertension is a neurological condition that is caused by increase pressure around the brain. This condition can occur in all age groups but is most often seen in young women, especially those with obesity or on oral contraceptives.
When papilledema is observed from analysis of the central retina, it requires careful medical assessment to prevent or minimize vision loss. It can occur over hours or weeks. This ocular condition can be asymptomatic, however symptoms can include headaches in the early stages, blurring of vision, transient periods of vision loss, inability to see a particular part of vision, double vision, nausea, and vomiting.
Treatment of papilledema is aimed at trying to determine the underlying cause of the brain disease. If increased intracranial pressure is the cause, treatment may include medications or lumbar puncture. Space-occupying lesions in the brain and central nervous system must also be ruled-out. Imaging studies (MRI), neurologic examination, and/or, internal medicine consultations may be needed to definitively identify the underlying cause.