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




Blepharospasm is a disorder of the nerves that control the eyelid, which may appear to others that the sufferer is deliberately closing their eyes tightly. Also called eyelid blepharospasm and benign essential blepharospasm, this condition manifests as an uncontrollable, forceful closure of the eyelids. Usually it affects both eyes at once, although in some cases only one eye is impaired.

Blepharospasm can sometimes begin with episodes of eyelid twitching, called myokymia, which is usually caused by stress, fatigue, too much caffeine or generally high levels of stress. Myokymia is usually not medically significant, but occasionally it can begin in younger patients and progress with age into the more severe blepharospasm.

This condition is a chronic, bilateral (affecting both eyes) and variably progressive dysfunction of the nerve that controls the oculomotor muscle surrounding the eye. In some cases there may be twitching or muscle spasms in other areas of the face, especially the cheeks and brow.


The cause of blepharospasm is unknown, although studies indicate that it may be a facial nerve disorder involving the basal ganglia are of the brain. It is known that people in their 50s and 60s or most susceptible, and that women are three times more likely to experience it than men. Estimates of the number of affected individuals in North America range up to about 150,000, making it relatively uncommon.


Early symptoms of this condition include occasional involuntary winking, blinking or squinting of one or both eyes and increasing difficulty in keeping the eyes open. Extreme light sensitivity may also be present, especially as the condition progresses. The eyelid spasms increase in frequency and severity until they are unremitting, which leaves both eyes clamped shut and the eyebrows pulled downwards.

Symptoms are made worse by stress, fatigue, bright lights, watching TV or using a computer, driving and social situations. Severe cases may cause the lids to be clamped shut for longer than a typical blink, causing erratic interruption of the vision.


There is no known cure for blepharospasm, but there are some treatments that help reduce the severity of its symptoms. Medications are largely ineffective, but the injection of Botox into the eyelid muscles can help tremendously; it is important, however that Botox be used only by very experienced practitioners, as unwanted complications can include paralysis of other facial muscles, which can lead to drooping lids, drooping corner of the mouth accompanied by drooling, or excessive tear production. Fortunately, these events are usually only temporary. Botox injections need to be repeated every few months.

In some cases, a surgical procedure can remove some of the muscle fiber connections and/or the nerves that control them and cause the eyes to squeeze shut.

Other treatments are under study for this condition, including biofeedback, acupuncture, hypnosis, chiropractic therapy and nutritional approaches. It is not yet known how effective these may be, although the results seem promising for some.

Wraparound sunglasses are helpful in reducing the intensity of light which is one of the triggers of blepharospasm; they can also serve the purpose of hiding the eyelid spasms for those who are bothered by the appearance of the condition.

Intense lighting and overall stress are two known triggers for blepharospasm, as well as fatigue from either inadequate sleep or visual stress caused by computer use or watching TV. It is thought that some social situations can also trigger episodes, probably by causing anxiety.

Blepharospasm can be disruptive to the vision and should not be ignored. The first line of treatment should include stress reduction and making sure to get enough sleep. Anxiety reduction by the use of relaxation techniques or hypnosis is also helpful.

Often, the precursor to blepharospasm is myokymia, small lid twitches that are not serious in themselves; however, avoiding myokymia triggers like too much caffeine and overuse of alcohol may be helpful. Interrupting the initial episodes of lid twitching may be helpful in preventing progression to blepharospasm.

If you believe you may be having episodes of myokymia or blepharospasm, consult your eyecare professional, especially if episodes are becoming more frequent or more severe.

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