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Opioid Usage Following Oculoplastic Procedures
Aesthetic Surgery Journal
|February 1, 2024
Summary
Oculoplastic surgery patients undergoing procedures on both upper and lower eyelids, or longer surgeries, used more opioid pain medication. Factors like orbital procedures, cosmetic vs. non-cosmetic, sex, or prior surgery did not impact usage.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Pain Management
Background:
- The opioid crisis necessitates reduced opioid prescriptions in surgery.
- Oculoplastic surgeons seek effective strategies to minimize opioid use post-procedure.
Purpose of the Study:
- To identify factors associated with opioid consumption after oculoplastic surgery.
- To quantify opioid usage in patients undergoing various oculoplastic procedures.
Main Methods:
- Prospective study involving 129 patients undergoing oculoplastic procedures.
- Patients received 20 tablets of tramadol (50 mg) as needed for pain.
- Opioid usage was calculated by counting unused tablets at the 1-week postoperative visit.
Main Results:
- Procedures involving both upper and lower eyelids led to significantly higher tramadol use (P < .01).
- Longer surgical duration correlated with increased tramadol consumption (R = 0.28, P < .01).
- No significant differences in opioid use were found based on eyelid vs. orbit procedures, cosmetic vs. non-cosmetic, sex, or reoperation status.
Conclusions:
- This study prospectively quantifies opioid use in oculoplastic surgery.
- Simultaneous upper and lower eyelid procedures and longer surgery duration are linked to greater opioid needs.
- Orbital, cosmetic, sex, and procedural naivety factors do not significantly influence opioid consumption.
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