October 05, 2017
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Ophthalmologists prescribe fewer opioids than peer physicians

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Ophthalmologists, as a whole, prescribe opioids with discretion, according to a study.

An analysis of Medicare Part D prescriber data found that between 2013 and 2015 the majority of ophthalmologist (88.8%) wrote fewer than 10 opioid prescriptions per year, while 1% prescribed more than 100 per year. The remaining 10.2% wrote between 11 and 100 opioid prescriptions per year.

Furthermore, ophthalmologists typically prescribed only a 5-day supply of opioids, which showed “appropriate discretion,” the study authors said. In keeping with the national trend for all physicians, ophthalmologists in Southern states wrote more opioid prescriptions than ophthalmologists in other regions of the country.

Recent advancements in cataract surgery procedures, including small incision phacoemulsification and sutureless small-gauge vitrectomy has led to a reduction in post-surgery pain for ophthalmological procedures, allowing physicians to prescribe fewer pain medications.

“Nonopioid pain relievers, such as acetaminophen and nonsteroidal anti-inflammatory drugs, frequently control postoperative discomfort,” the study authors said. “Although certain ophthalmic procedures may require stronger medications in the immediate postoperative period, this is certainly not the norm.” – by Rebecca L. Forand

 Disclosure: The authors report no relevant financial disclosures.