Rand-Stein analgesia protocol for cataract surgery11The authors have no financial interests in any of the products used in this protocol.

Rand, William; Stein, Scott C; Velazquez, Gabriel E

doi:10.1016/s0161-6420(00)00008-7

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…Despite cataract surgery having the lowest rate of opioid prescriptions, they contributed the highest volume of opioid prescriptions within their dataset due to the higher overall volume. However, in the current state of intra-operative analgesia during modern phacoemulsification techniques, such as the Rand-Stein protocol [17] along with other methods of intra-operative analgesia [18][19][20], there are few reasons, if any, to prescribe postoperative opioids to an opioid-naı ¨ve patient following cataract surgery. Other ophthalmic surgeries, though, including trauma, strabismus, vitreoretinal, oculoplastic, and cornea have more varied approaches to improving postoperative pain and thus postoperative opioids may be necessary [21,22,[23][24][25][26], with the majority of this research focusing on patients undergoing refractive surgery [19,23,25,27,28].…”

Section: Efforts To Reduce Opioid Prescriptions Amongst Ophthalmologistsmentioning

confidence: 99%

Opioids and ophthalmology: review of the current literature

Starr

Patel

Ammar

et al. 2021

Current Opinion in Ophthalmology

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Purpose of reviewThe number of opioid-related overdose deaths has rapidly increased since 2000, increasing more than fivefold from 1999 to 2016. Although surgeons only write 10% of opioid prescriptions annually, with ophthalmologists writing only a fraction of this amount, all physicians need to be cognizant of the current opioid epidemic and ways to decrease unnecessary opioid prescriptions. Recent findingsPrevious work within ophthalmology has shown that retrobulbar anesthesia along with peri-operative intravenous or oral nonopioid analgesics can lead to decreased postoperative opioid use following ophthalmic surgery. Recent literature has shifted focus towards the use of opioid prescription guidelines in managing postoperative pain and decreasing the number of unnecessary opioids being prescribed by ophthalmologists. Overall, the frequency of opioid prescriptions may have gradually declined the past few years with such efforts, increased awareness, and new healthcare policies to monitor opioid prescriptions. However, ophthalmologists still continue to prescribe a substantial number of opioid medications, much of which may not be necessary.

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