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"

    --Naveed
  • "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. "

    --Mikail
  • "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
Amblyopia (Lazy Eye)



Amblyopia (Lazy Eye)

It is estimated that three percent of children under six have some form of amblyopia. Young eyes need proper visual stimulation in order for mature vision to develop. For this to happen both eyes need clear images of the world to focus on the retina and then be transmitted to the visual cortex of the brain. Amblyopia also known as “lazy eye” is a condition that occurs when vision in one eye is reduced because the eye and the brain are not working together properly during critical periods of development.

The visual cortex develops dramatically in babies and young children and it continues to develop throughout the first decade of life. Anything that interferes with a normal image on the retina during this time can lead to amblyopia. Good eyesight needs a clear focused image that is the same in both eyes. But if the two images are significantly different from one another the brain cannot combine them and the vision pathways won t develop properly. This often leads to a permanent reduction in vision if not treated during the critical development period from birth to seven years of age.

Amblyopia is the most widespread cause of reduced vision in children. It is estimated that three percent of children under six have some form of amblyopia. It has many causes but most often results from:

1. Strabismus. This is the medical term for misaligned (or “crossed”) eyes. The misaligned eye points in a different direction thus seeing a different image than the straight eye. The child with strabismus often suppresses or shuts off the misdirected eye to avoid double vision. Over time the crossed eye becomes amblyopic if it is not made to function. Treatment for strabismus usually involves eye muscle surgery to redirect the eye although spectacles can correct some types of strabismus. Strabismus is present in approximately two percent of children and treatment before the age of eight ensures the best possible visual acuity function and cosmetic results.

2. Uncorrected Refractive Error. Refractive error can be due to hyperopia, myopia or astigmatism. When there is a significant difference in image quality between the two eyes (one eye focusing better than the other) a child has a high risk of developing amblyopia. The brain usually has difficulty balancing the visual difference and to compensate it will favor the stronger eye and suppress the image of the weaker eye. Both eyes may look normal even though one eye has poorer vision. In rare cases both eyes can develop amblyopia if there is a significant refractive error in both eyes.

Amblyopia is often without symptoms although sometimes a child will close one eye or squint when focusing on an object. Since amblyopia often occurs in one eye and young children don’t know what optimal vision is like most will not complain of any visual problems. Children that are old enough to vocalize may complain of eye fatigue or headaches.

The key to restoring proper vision is through early diagnosis and treatment. Amblyopia can be treated fairly successfully between the ages of two and seven but the success decreases with age. Because there are several causes of amblyopia the method of treatment must match the problem. Treatment first involves correcting the underlying problem:

  • glasses are prescribed for improved focusing or misalignment of the eyes
  • strabismus surgery is undergone to straighten the muscles in the eyes if non-surgical means are unsuccessful

Following the correction of the underlying cause treatment for amblyopia involves getting the child to use the weaker eye. In most cases the ideal method is to place a patch over the stronger eye thereby forcing the amblyopic eye to do all the work. Patching is an effective method that can significantly restore vision loss. Adhering to a strict patching schedule recommended by your eye care practitioner is essential for optimal results; it continues until the vision in the amblyopic eye can no longer be improved. Once the eye care practitioner confirms that vision is close to equal in both eyes he or she may reduce the patching to part-time use or to alternating patching of both eyes. The entire process can last anywhere from a few weeks to months to years. It is important to watch closely for signs of recurrence once the patch treatment is discontinued. An alternative to patching is the use of atropine drops to blur the vision of the good eye in order to force the weaker one to work.

Regular eye examinations are essential to prevent vision loss. It is relatively easy to overlook poor visual function in a young child so routine testing of eyes is necessary before age three. Early detection of the problems that may lead to amblyopia can prevent it and in most cases treating amblyopia before the eyes are fully developed can reverse the condition. If not treated early enough an amblyopic eye may never develop good vision and may even become functionally blind.

 
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