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Opioid Usage Following Oculoplastic Procedures.

Frank Mei, Victoria Garfinkel, Matthew Petroll

    Aesthetic Surgery Journal
    |February 1, 2024
    PubMed
    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:

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    • 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.