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Head-to-head · Optometry Software

iTRUST EHR vs Acuitas 3

  • Updated Oct 2026
  • Both researched from official sources
  • 6 checks side by side
Higher score iTRUST EHR #1 in Optometry Software 9.3/10 14-day trial Free trial✓ 5 of 5 features Visit iTRUST
Acuitas 3 #3 in Optometry Software 9.0/10 Pricing on request ✓ 0 of 5 features Visit Ocuco

iTRUST EHR leads on 0 checks, Acuitas 3 on 0, and 6 are even. Who comes out ahead on the 6 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreiTRUST EHR · 9.3/10
  • Free trialonly iTRUST EHR
  • Most featuresiTRUST EHR · 5 of 5

iTRUST EHR scores higher on our rubric for optometry software: 9.3 against 9.0 out of 10; our editors rank them #1 and #3.

iTRUST EHR is the better fit for feature-rich optometry practices seeking cloud EHR. Acuitas 3 is the better fit for enterprise optical groups needing end-to-end workflows.

  • iTRUST EHR fits best

    Feature-rich optometry practices seeking cloud EHR

  • Acuitas 3 fits best

    Enterprise optical groups needing end-to-end workflows

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature iTRUST EHR 9.3/10 Visit ↗ Acuitas 3 9.0/10 Visit ↗
At a glance
Editor score 9.3 9.0
Ranking #1 in Optometry Software #3 in Optometry Software
Best for Feature-rich optometry practices seeking cloud EHR Enterprise optical groups needing end-to-end workflows
Pricing model Paid Paid
Starting price — Pricing on request
Free plan — Not checked yet
Free trial 14 days —
Deployment Cloud Cloud
Platforms Web Web
Support Email, Phone, Docs, Tickets Email, Phone, Tickets
Compliance HIPAA SOC 2, ISO 27001, HIPAA
Integrations 15 integrations 3 integrations
Built for Small business, Mid-market, Enterprise Solo, Small business, Mid-market, Enterprise
Features iTRUST EHR 5/5 · Acuitas 3 0/5
Optometry EHR ✓ (best) Not checked yet
Appointment scheduling ✓ (best) Not checked yet
Optical inventory ✓ (best) Not checked yet
Patient portal ✓ (best) Not checked yet
Telehealth ✓ (best) Not checked yet
Specs
Deployment Cloud Cloud
Our review
Pros
  • Optometry chart templates, auto-fill and ICD-10 coding suggestions
  • Combines inventory, online booking, telehealth, POS and claims workflows
  • Connects with optical suppliers and diagnostic equipment integrations
  • Combines EHR, scheduling, dispensing, POS, insurance and inventory
  • Connects omnichannel ecommerce with online and in-store sales
  • Supports multi-location control with Power BI analytics and centralized visibility
Cons
  • Starting price is listed in a separate U.S.-specific pricing post
  • Plan prices are custom quotes, making tier comparisons less direct
  • Enterprise / Custom is the tier with dedicated support and SLAs
  • Customized pricing requires contacting sales
  • Web-based cloud deployment may not fit offline operating models
  • 24/7 support is not offered
Our verdict

iTRUST EHR brings optometry charting and practice management into a cloud system for eye-care practices. It suits teams looking to manage exams, patient records, scheduling, optical inventory and billing workflows in one product. Its chart…

Read the review →

Acuitas 3 is Ocuco’s cloud optical practice-management and omnichannel platform for independent optometrists, clinics and optical chains. It brings electronic medical records, configurable optometry workflows, appointment booking, optical…

Read the review →
  1. iTRUST EHROptometry Software 9.314-day trial
  2. Acuitas 3Optometry Software 9.0Pricing on request

Strengths and trade-offs

  • iTRUST EHR — where it wins

    • Optometry chart templates, auto-fill and ICD-10 coding suggestions
    • Combines inventory, online booking, telehealth, POS and claims workflows
    • Connects with optical suppliers and diagnostic equipment integrations

    Where it doesn't

    • Starting price is listed in a separate U.S.-specific pricing post
    • Plan prices are custom quotes, making tier comparisons less direct
    • Enterprise / Custom is the tier with dedicated support and SLAs

  • Acuitas 3 — where it wins

    • Combines EHR, scheduling, dispensing, POS, insurance and inventory
    • Connects omnichannel ecommerce with online and in-store sales
    • Supports multi-location control with Power BI analytics and centralized visibility

    Where it doesn't

    • Customized pricing requires contacting sales
    • Web-based cloud deployment may not fit offline operating models
    • 24/7 support is not offered
  • iTRUST EHR9.3/10 · 14-day trial

    Optometry-focused cloud EHR with clinical, optical, booking and billing workflows.

    Visit iTRUSTFull verdict →
  • Acuitas 39.0/10 · Pricing on request

    End-to-end cloud workflows for optical groups managing clinical, retail and ecommerce operations.

    Visit OcucoFull verdict →

More comparisons

All optometry software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update