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
Understanding and Avoiding Contact Lens Complications: Overwear Syndrome


Understanding and Avoiding Contact Lens Complications: Overwear Syndrome


Contact lenses are a wonderful mode of vision correction and provide an excellent alternative to eyeglasses, but patients should remember that they are medical devices, available by prescription. Like many other medical interventions, they are subject to complications and risk of adverse events.

Most contact lens-related complications involve either decreased oxygen levels getting to the cornea or lens care and cleaning issues. By following instructions as to wear schedules, lens replacement and cleaning regimens, contact lens wearers can virtually eliminate most sources of complications and adverse events.

Those complications caused by a decrease in oxygen flow to the cornea can also result in a loss of corneal sensitivity, so that a foreign body under the lens may not even be felt by the patient at all. Those complications that are caused by lens care and cleaning issues can result in a much higher risk of infections; some infections can be very serious, even vision-threatening.

For successful contact lens care and wear, your eyecare practitioner and you form a partnership; in it, the obligation of the eyecare practitioner is to provide quality contact lenses, the proper fit and give the patient information and resources to properly care for the lenses. It is the obligation of the patient to use the lenses according to instructions and care for them properly, using the correct solutions, to follow all instructions and ask questions if needed for clarification.

Signs and Symptoms of Overwear

Overwear syndrome is caused by just what one would expect it to be: overwearing contact lenses. This can take the form of wearing the lenses too long in a day, or even in sleeping with lenses on the eye that were not meant to be used in an extended-wear manner.

The actual culprit in overwear is a decrease in the amount of oxygen getting to the cornea from the atmosphere, and to a lesser extent, from the exchange of tears under the lenses.

Added factors like computer vision and its related dry eyes can add to the impact of overwear, because we don’t blink as often or produce as many tears overall when using a computer.

Improvements in lens materials have greatly increased the amount of oxygen getting through the lens, but even so, some patients have corneas that respond to decreased oxygen sooner than others.

In overwear, the patient will experience inflammation of the cornea (keratitis), redness and swelling of the conjunctiva (the transparent skin covering the whites of the eyes and lines the insides of the eyelids), varying degrees of lens intolerance, eyelid swelling, light sensitivity and corneal edema (swelling). Because a swollen cornea is also cloudy and not perfectly transparent, vision will be affected as well.

Overwear symptoms can be thought of as resulting from our eyes letting us know that they are also “tired,” of supporting a contact lens and that we should reduce our wearing time.

Overwear syndrome is usually bilateral because both eyes are subjected to the same lens type, but if the patient wears different lens types in each eye (as in the case of different amounts of refractive error, for instance).

Treatment of Overwear

The first thing to do is to eliminate the source of the problem by suspending all contact lens wear until all signs and symptoms are resolved.

With lens wear suspended, the cornea usually heals over the course of several days to weeks. Patients will often require switching to new lens materials that are extremely high in oxygen permeability. There are lens materials available today that cause almost no interference with the flow of oxygen at all, and these may prevent overwear from recurring again. Often daily disposable lenses are recommended.

Patients who have a case of overwear should not be in any extended-wear modality, but should remove their lenses every time they sleep, even just for a quick nap. Once a person has experienced the discomfort of overwear syndrome, he or she is usually very willing to do whatever it takes to prevent it from happening again.

Discontinuing contact lens wear totally is almost never required with today’s lens technology.

Summing Up

Overwear syndrome is much less frequent today than in the past, largely due to the huge technology leaps made in lens materials and designs. Patients experiencing symptoms over overwear syndrome should discontinue their contact lens wear and see their eyecare practitioner right away.

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