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l normalization preceded tomographic resolution. This 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. With 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. There was an average