Vision Loss Associated With the Opioid Epidemic

Luong, Preston M.; Tsui, Edmund; Batra, Nikhil; Chapman, Christopher B; Zegans, Michael E.

doi:10.1001/jamaophthalmol.2017.4868

Cited by 10 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While opioids have proven effective analgesics in a wide range of ophthalmic settings, attention is turning to how they are used in ophthalmology . Patel and Sternberg conducted a study characterizing opioid-prescription patterns by ophthalmologists within Medicare.…”

Section: Introductionmentioning

confidence: 99%

“…4 While opioids have proven effective analgesics in a wide range of ophthalmic settings, attention is turning to how they are used in ophthalmology. [5][6][7][8][9][10] Patel and Sternberg 11 conducted a study characterizing opioid-prescription patterns by ophthalmologists within Medicare. They showed that about 90% of ophthalmologists wrote fewer than 10 opioid prescriptions annually, and approximately 1% wrote more than 100 prescriptions annually.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Association of Opioids With Incisional Ocular Surgery

Kolomeyer

VanderBeek

2019

JAMA Ophthalmol

View full text Add to dashboard Cite

he last few decades have seen a considerable increase in opioid-associated deaths in the United States. As per the US Centers for Disease Control and Prevention, more than 200 000 people have died from opioidassociated overdoses in the United States from 1999 through 2016, with 5 times more people dying from prescription opioids in 2016 than in 1999; in US adults younger than 50 years, drug overdose has become the number 1 cause of mortality, and the rates are higher in men than women and higher in non-Hispanic white individuals than other racial/ethnic groups. 1,2 In addition, the rates are increasing in the older population as well. 3 This prompted the establishment of a 5-point plan to combat opioid abuse, misuse, and overdose by the US Department of Health and Human Services in 2017. 4 While opioids have proven effective analgesics in a wide range of ophthalmic settings, attention is turning to how they are used in ophthalmology. [5][6][7][8][9][10] Patel and Sternberg 11 conducted a study characterizing opioid-prescription patterns by ophthalmologists within Medicare. They showed that about 90% of ophthalmologists wrote fewer than 10 opioid prescriptions annually, and approximately 1% wrote more than 100 prescriptions annually. Charlson and coworkers 12 specifically focused on oculoplastic surgeons and found that they wrote a mean of 45 opioid prescriptions per year, with 45% writing fewer than 10 and 14.8% writing IMPORTANCE Opioid abuse has been declared a public health emergency. Currently, little is known about the association between opioids and ocular surgery. OBJECTIVE To characterize rates of filled opioid prescriptions after incisional ocular surgeries. DESIGN, SETTING, AND PARTICIPANTSThis cohort study included patients with incisional ocular surgeries within a large national US insurer's administrative medical claims database. All incisional ocular surgeries from January 2000 through December 2016 were evaluated. An opioid prescription was eligible if it occurred from 1 day before to 7 days after a surgery. Any surgery on a patient who was younger than 18 years, had more than 30 consecutive days of an opioid prescription in the prior 6 months, or had less than 6 months of data in the database prior to surgery was excluded. Data analysis occurred from May 2018 through November 2018. MAIN OUTCOMES AND MEASURESThe rate of opioid prescriptions filled for all incisional ocular surgeries from 2000 through 2016. Primary analysis looked at the rate of filled opioid prescriptions for each ophthalmic subspecialty surgery over time. Secondary analysis assessed which patient or surgical characteristics (ie, age, sex, race/ethnicity, geographic locations, yearly income, educational level, and type of eye surgery) were associated with filling an opioid prescription. Multivariate logistic regression using generalized estimating equations was used to determine odds ratios (ORs) of filling an opioid prescription.RESULTS A total of 2 407 962 incisional ocular surgeries were included, of which 45 776 (1.90%) were as...

show abstract

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Association of Opioids With Incisional Ocular Surgery

Kolomeyer

VanderBeek

2019

JAMA Ophthalmol

View full text Add to dashboard Cite

show abstract

“…3 Up to 80% of heroin users first misused prescription opioids, and an estimated 4 to 6% of patients who misuse opioids eventually transition to heroin. 4,5 In addition to potential overdose death, this behavior increases the risk of life-threatening complications such as sepsis, hepatitis C, HIV, and vision-threatening complications from endophthalmitis. [4][5][6][7][8] Bearing in mind current opioid prescribing trends, it is important to consider the relationship between opioid prescribing patterns and medical specialty.…”

mentioning

confidence: 99%

“…4,5 In addition to potential overdose death, this behavior increases the risk of life-threatening complications such as sepsis, hepatitis C, HIV, and vision-threatening complications from endophthalmitis. [4][5][6][7][8] Bearing in mind current opioid prescribing trends, it is important to consider the relationship between opioid prescribing patterns and medical specialty. To date, there has been no investigation into the pattern of opioid prescribing by optometrists.…”

mentioning

confidence: 99%

“…An estimated 1.7 million Americans suffer from a generic opioid substance use disorder, with 652,000 abusing heroin 3 . Up to 80% of heroin users first misused prescription opioids, and an estimated 4 to 6% of patients who misuse opioids eventually transition to heroin 4,5 . In addition to potential overdose death, this behavior increases the risk of life-threatening complications such as sepsis, hepatitis C, HIV, and vision-threatening complications from endophthalmitis 4–8 …”

mentioning

confidence: 99%

See 1 more Smart Citation

Opioid Prescribing Patterns of Optometrists in the Medicare Part D Database

Dryden¹,

O'Malley²,

Adams

et al. 2021

Optom Vis Sci

View full text Add to dashboard Cite

SIGNIFICANCEThis study aimed to determine the prescription rates and prescribing trends of opioids by optometrists in the Centers for Medicare & Medicaid Services (CMS) part D database from 2013 to 2017 and to assess opioid prescribing patterns of U.S. optometrists in the CMS part D database.METHODSWith internal review board approval, a retrospective observational cohort study was conducted on optometrists listed in the CMS part D database who prescribed opioids from 2013 to 2017.RESULTSThere was an average of 26,477 optometrists in the CMS database from 2013 to 2017, of which 5.9% prescribed opioids. Of those prescribing opioids, optometrists wrote an average of 5.9 opioid prescriptions per year. Those writing greater than 10 opioid prescriptions averaged 24.2 annually. Overall, of opioid prescribing optometrists, opioid prescriptions comprised 7% of prescriptions written per year.CONCLUSIONSMost optometrists do not prescribe opioids, and the vast majority of those who do write few opioid prescriptions. The total number of optometrists prescribing opioids and the total number of opioid prescriptions declined from 2013 to 2017. Further investigation into the opioid prescribing practices by optometrists will help better understand specific pain needs, as opioid prescribing patterns may differ depending on patient population.

show abstract

Pain Management After Ophthalmic Surgery: Considerations During the Opioid Epidemic

Israilevich,

Starr

2024

Curr Surg Rep

View full text Add to dashboard Cite

Vision Loss Associated With the Opioid Epidemic

Cited by 10 publications

References 8 publications

Association of Opioids With Incisional Ocular Surgery

Association of Opioids With Incisional Ocular Surgery

Opioid Prescribing Patterns of Optometrists in the Medicare Part D Database

Pain Management After Ophthalmic Surgery: Considerations During the Opioid Epidemic

Contact Info

Product

Resources

About