Dr. Shalu Pal

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  • " I was pleasantly surprised by finding a hidden gem within Dr. Pal's office"

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  • "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. "

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  • "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."

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  • "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
Tenotomy - A New Type of Surgery For Eyes
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Tenometry - A New Type of Surgery For Eyes

Tenotomy is designed to correct nystagmus by removing selected eye muscles and re-attaching them to the eyeball at exactly the same spot. A surgery typically used on ankle tendons knee joints or bicep muscles is now being applied to eyes. The director of Clinical Neuro-Ophthalmology at University Hospitals of Cleveland Dr. Robert Tomsak recently performed an innovative surgical procedure to improve the vision of patients with nystagmus an involuntary movement of the eyes that can impair vision and cause balance and equilibrium problems.

This very rare condition may be congenital or acquired perhaps as the result of a neurological condition such as multiple sclerosis. Experts estimate that congenital nystagmus affects about one in 3000 people. Acquired nystagmus is an even rarer condition. Medications have been used to treat acquired nystagmus but have not always worked effectively.

In order to transmit a clear signal to the brain your eye has to stay on target and focus on a specific object. If your eye is constantly moving though the brain cannot ’take a picture’ quickly enough to make a sharp image. The surgery’s goal is to slow the involuntary eye movements so your eye can take a better more detailed picture.

This surgery called tenotomy is designed to correct nystagmus by removing selected eye muscles and re-attaching them to the eyeball at exactly the same spot. Tenotomy presumably interrupts electrical signals between the brain and the eye muscles – as a result these involuntary and debilitating eye movements are dampened or lessened.

In October 2003 Dr. Tomsak became the first physician to perform tenotomy on a patient with acquired nystagmus (this patient has multiple scerlosis). The surgery was successful in reducing the nystagmus by 50 per cent according to Dr. Tomsak. The patient’s vision has improved slightly since the operation and it is hoped that he will continue to improve as time goes on.

Both congenital and acquired nystagmus doctors say are directly caused by instability of the motor system controlling the eyes. Dr. Tomsak a neuro-ophthalmologist and collaborators Dr. Dell’Osso R. John Leigh MD and Janet Rucker MD presented these results of their research at the North American Neuro-Ophthalmological Society meeting in March 2004.


 
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