Quality of Care in Patients With Newly Diagnosed Glaucoma

Are there nonmedical factors that may contribute to suboptimal care in patients with primary open-angle glaucoma?In this cohort study among patients with newly diagnosed glaucoma, lower wealth was associated with decreased odds of achieving the minimum reduction in intraocular pressure recommended by national guidelines on quality of care. Less wealth and rural residence were associated with greater odds of loss to follow-up.There may be opportunities to improve glaucoma care by making eye care interventions more affordable to less-affluent patients and more accessible to patients in rural communities.

Corresponding Author: Joshua D. Stein, MD, MS, W. K. Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall St, Ann Arbor, MI 48105 (jdstein@med.umich.edu).

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