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
Myokymia (Eyelid Twitching)


Myokymia (Eyelid Twitching)


As eyecare practitioners, we frequently hear from patients that they are bothered by twitching in the eyelid of one eye. The eyelid muscles around one eye (only rarely in both) will begin to quiver involuntarily; episodes can be as frequent as several times a day or perhaps once a week.

To the person experiencing it, the entire lid feels like it might be moving, but in reality it is a very small movement, almost unnoticeable by others. While it can be annoying, the twitching is not serious, and is not a medical concern. Almost all cases resolve without treatment within three weeks, and most disappear sooner than that.

Called myokymia (my-oh-kime-ee-ya), this annoying phenomenon is usually due to stress, lack of sleep, fatigue or anxiety; it is also sometimes seen when people are using too much caffeine (sodas, coffee and energy drinks are common sources) or indulging in smoking or overuse of alcohol. Irritation from toxic fumes or a small foreign body in the eye can also trigger myokymia.


Myokymia is caused by a misfiring of the nerves supplying the muscles of the eyelid. It can be from a single muscle or a group of muscles around the eye, most commonly those that close the lids, the orbicularis. The superior oblique muscle is also sometimes involved, which controls the movement of the eye down and inward toward the nose. When the oblique muscle is involved, the patient may experience double vision during an attack, but this is rare.

In rare situations, this condition can occur as a precursor to blepharospasm, a different type of myokymia which is more severe.


Usually, treatment is not necessary, because myokymia almost always resolves by itself within a short time. Depending on how bothersome these small muscle spasms become, the first and easiest method to decrease their frequency is to simply get adequate rest and reduce caffeine intake.

A second remedy is to use either topical or oral antihistamines (allergy therapies), but care should be taken, because oral antihistamines can cause drowsiness. Also, the use of cold packs over the affected eye has been reported to be effective in some cases.

Botox injections have been demonstrated to stop persistent myokymia. However, this could be considered as being in the same category that using a bomb to kill a fly would be in; usually these tiny muscle spasms are not at all that serious. If considered, Botox injection should only be done by an experienced practitioner to avoid damaging the nerves that control other facial muscles.

If myokymia is persistent and severe despite self-treatments such as cutting caffeine, getting more sleep and taking steps to reduce stress, a consultation with an eyecare practitioner is indicated. This is especially important if the frequency of episodes is increasing and/or how long they last, because myokymia can progress into blepharospasm in rare cases.

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