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
Uveitis


Contents

Iritis

Iritis is an inflammation of the iris and is sometimes linked to certain systemic conditions infections previous eye surgery or injury. The iris of the eye is composed of pigmented tissue that gives the eye its colour (i.e. - hazel eyes) and regulates the amount of light entering through the pupil. Iritis is an inflammation of the iris and is sometimes linked to certain systemic conditions infections previous eye surgery or injury. A flare-up of iritis often occurs for unknown reasons but is commonly associated with diseases like arthritis Crohn’s disease colitis irritable bowel syndrome (IBS) lupus as well as AIDS and tuberculosis. While iritis sometimes occurs only once it can often recur.


Symptoms

  • Red/ bloodshot eye
  • sensitivity to light
  • pain (ranging from mild aching or soreness to intense discomfort) which is exacerbated by light
  • different-sized pupils or a sluggish or fixed pupil
  • blurry vision


If left untreated iritis can result in serious eye complications that can threaten vision. As the iris becomes more inflamed it swells and becomes very sticky. This stickiness can result in adhesions of the iris (called synechiae) to the crystalline lens which lies behind it or to the cornea which lies in front. Synechiae formation can block fluid flow within the eye and can give rise to increased pressure (secondary glaucoma). If iritis is left untreated for a significant period of time it can also result in cataracts corneal clouding and retinal swelling. To minimize vision loss and control inflammation a complete eye examination should be performed as soon as symptoms occur.

Testing

Iritis can be diagnosed with a slit lamp microscope designed for magnified views of the eye. Your eye care practitioner will use the microscope to look for fine white blood cells floating inside the eye – usually a key indicator of inflammation – and excess protein particles floating in the eye. The internal structures of the eye are also carefully examined to determine if inflammation exists elsewhere. Since the condition is so closely associated with several diseases your eye care practitioner will probably also go over your health history in order to help determine the cause. If deemed necessary referral is made for blood tests and x-rays to rule out certain autoimmune diseases.

Treatment

Proper diagnosis and prompt treatment of iritis are essential. Treatment consists of the use of corticosteroid and dilating eyedrops. Corticosteroid eyedrops are used to suppress inflammation. Initial treatment is often very frequent (sometimes as often as every hour) until the inflammation is suppressed and then the treatment is tapered off. Dilating eyedrops keep the inflamed muscles of the iris from contracting and prevent the iris from sticking to the crystalline lens and cornea. They also quickly reduce pain discomfort and sensitivity to light.

Occasionally iritis can be very severe and it will not respond to the corticosteroid drops. In this situation an injection of steroids adjacent to the eye may be required in addition to the topical corticosteroid medication. This occurs most frequently when the disease occurs in both eyes. Unfortunately treatment that works for one person will not always work for another. Because of this it is absolutely necessary to have follow-up examinations with your eye care practitioner.

 
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