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
Lagophthalmos: Incomplete Eye Closure


Lagophthalmos: Incomplete Eye Closure


Our eyelids act as protective covers for the eyes, especially during sleep; during the day they are important for spreading the tears evenly over the ocular surface, keeping it moist and comfortable.

During a blink, a thin film of tears is spread evenly over the surface of the eyes, which helps maintain a very smooth surface for clear and undistorted vision. The tear film is also a source of necessary nutrients and protects the cornea from infections; a full and complete blink is necessary to perform these functions.

When the eyes dry out, they are vulnerable to infection and inflammation, a condition that can cause vision loss. Inflammation of the ocular tissues, called "exposure keratitis", can cause significant discomfort.

"Lagophthalmos" (lag-off-thal-mose) is the medical term for incomplete closure of the eyelid, and can apply to incomplete blinking, incomplete coverage during voluntary eye closure, or incomplete lid closure during sleep. Some people with lagophthalmos have trouble with all three of these functions, but others may have the condition in only one or two of them.


Lagophthalmos can be the result of a partial facial paralysis that affects the orbicularis muscle in the eyelid, which usually involves only one side of the face.

Another type of lagophthalmos is seen in some people during sleep, called nocturnal lagophthalmos. Sleeping with the eyes open or partly open can cause dryness of the ocular tissue, exposure to dust or other debris, and even abrasion from the bed linens.

Causes of both these types of lagophthalmos include:

  • Bell’s Palsy
  • Trauma
  • Neurosurgery
  • Bacterial infection
  • Stroke

A form of lagophthalmos is also seen in some wearers of rigid contact lenses, particularly when the lenses are new and the individual is still adapting to how they feel on the ocular surface. Each blink causes the lenses to move on the cornea, which is necessary for proper tear film exchange, but which can be unpleasant to a new wearer. Occasionally new lens wearers can “train” themselves to blink less often and/or to blink incompletely, to minimize lens sensation. This improper adaptation can be the cause of failure with contact lenses, but is not considered a true lagophthalmos, because the eyelids are still capable of making complete blinks and complete eyelid closure.


Lagophthalmos can result from a temporary situation, such as Bell’s Palsy, or it can be a permanent condition, such as might be caused by stroke or trauma. Whatever the underlying cause, incomplete lid closure is a serious issue, because the ocular tissues can become dry and cause inflammation and redness. Dry ocular tissues are also vulnerable to possible infection without an intact tear film.

Treatment will depend on whether the condition is expected to last indefinitely or if it will be a short-term issue. If the duration is expected to be short, less than six months or so, most eyecare practitioners will use a combination of daytime ocular lubricants and ointments or gel lubricants during the night to keep the tissues moist and comfortable. In some cases, a protective mask may be employed at night to prevent injury.

If the lagophthalmos is expected to be persistent, implantation of a small, thin, pure gold weight into the eyelid can be quite effective. Once inserted, the implant is not visible; it is completely inconspicuous to others. The weight of the implant will help gravity pull the lid down over your eye, but when you tense the lid, it will open naturally. Because pure gold is biologically stable and inert, it will not break down and can be removed at any time. The procedure is relatively simple and can be performed on an outpatient basis.

If you suspect you may have lagophthalmos, see your eyecare practitioner for an evaluation.

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