Highlight
• Patients with primary open-angle glaucoma (POAG) from lower wealth quartiles show significantly reduced odds of achieving recommended intraocular pressure (IOP) reductions and higher rates of loss to follow-up (LTFU).
• Rural residence is associated with a substantially increased risk of LTFU compared to urban residence.
• Presence of children in the household correlates with greater average IOP reduction, indicating possible social support benefits.
• Understanding nonmedical influences such as socioeconomic status and living environment is essential for optimizing glaucoma management and adherence to care guidelines.
