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
BlephEx: A New Tool for Better Treatment in Blepharitis


The BlephEx: A New Tool for Better Treatment in Blepharitis

Blepharitis is the medical term used for a family of eyelid margin disorders and inflammation that cause symptoms such as redness, swelling of the lid margins, itching or burning, dryness, crusty eyelids, grittiness and even the eventual loss of eyelashes.

Possible causes of blepharitis are underlying bacterial infection, skin conditions or infestation by a mite called demodex; in these, it is possible to treat these to a large extent by treating the source of the problem, improving comfort and reducing symptoms, but in some cases blepharitis is caused by improper hygiene practices and treatment must address that issue as well.

Patients shouldn’t try to self-diagnose this condition, or try to treat it on their own, because if there is an underlying infection, it’s important to treat that first; only your eyecare provider can make that distinction and get treatment started in that case.


First, it helps to understand that the natural tears are composed of three main layers or components, each of which is essential in keeping the eye lubricated and comfortable. About 90% of tears are made of what most people would call salt water; the other ten percent keeps the tears in place on the surface of the eye and keeps them from evaporating too quickly. All three factors must be present and in balance to provide clear, comfortable vision.

That last ten percent of the tear layer is of particular importance; there are numerous tiny glands located in the upper and low eyelids that open just behind the line of the eyelashes. These meibomian glands, must be working efficiently to maintain a good tear layer on the eye.

When the meibomian glands are not working well it results in an imbalance in the tear layer; the glands may be blocked or the tear components may be too thick and hard to come out of the openings properly. The result is blepharitis.

Blepharitis cannot usually be completely cured, but can be controlled to a large extent with the use of selected eyedrops to improve lubrication, hot compresses and lid scrubs to remove debris from the margins of the eyelids with either a commercial scrub preparation or a solution of baby shampoo with sterile saline. That these treatments sometimes require an individual to perform this routine several times a day make it hard for most people to keep up with them during their working day.

The BlephEx Tool

A mainstay of treatment for blepharitis has been for an eyecare practitioner to thoroughly clean the lids in the office, to remove debris from around the eyelashes, followed by physically squeezing the glands to express their contents, which allows for a visual evaluation of their function, and to improve comfort overall.

The BlephEx is a smart little gadget an eyecare practitioner can use in the office to provide a thorough cleaning to remove oils, skin flakes, scales and other debris from the margins of the eyelids. It is a step forward in the treatment of blepharitis.

What to Expect

Treatment with the BlephEx instrument is very well tolerated, is not painful and results in improved comfort almost immediately. Most people report only a mild “tickling” of the lids during the procedure, which takes less than five minutes.

First, the practitioner will use a numbing drop in each eye. After that, a new sponge-tip is applied to the tool and it is dipped into the scrub liquid. The doctor will then use the BlephEx to gently scrub each lid margin.

The BlephEx is a small rotating brush which is very effective at removing any foreign matter. The brush will rotate in both directions, so each lid is cleaned from both directions at the base of the lashes. The eye is rinsed with a sterile saline solution and the tip is replaced for the other eye. Depending on the severity of the blepharitis, the treatment can be repeated.

The BlephEx web site, http://www.rysurg.com/ has more information, a video of an actual treatment and photographs of eyelids immediately before and after treatment.

Patients should still use basic lid hygiene techniques, including hot compresses and lid scrubs at home to help keep the condition under control. Blepharitis is a chronic condition that can’t be cured, but comfort can certainly be increased, and the BlephEx can help achieve that.

Better Treatment, Better Results

This condition can be complicated at times when patients use contact lenses or apply eye makeup improperly inside the lash line. However, neither contact lenses nor makeup need to be discontinued entirely, but proper care and disinfection of lenses and using good quality makeup materials is important in controlling blepharitis.

It is also important for patients to realize that no treatment currently available can be considered as a cure for blepharitis, and they will need to continue indefinitely with good lid hygiene efforts, including meticulous contact lens care, and complete replacement of all eye makeup materials every six months to avoid contamination; it is never a good idea to borrow makeup or to lend it to others.

The BlephEx is a new treatment modality for blepharitis and may not be covered by health or vision insurance. Most patients suffering from this condition, however, will find the treatment to be economical, especially in terms of the time they would otherwise spend doing lid scrubs and hot compresses. The improved health of the lid margins and decreased symptoms make this therapy worthwhile.

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