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Head-to-head · Optometry Software

iTRUST EHR vs OptoSoft

  • 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
OptoSoft #6 in Optometry Software 8.7/10 Free plan Free plan✓ 3 of 5 features Visit OptoSoft

iTRUST EHR leads on 0 checks, OptoSoft on 1, and 5 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 planonly OptoSoft
  • Free trialonly iTRUST EHR
  • Most featuresiTRUST EHR · 5 of 5

iTRUST EHR scores higher on our rubric for optometry software: 9.3 against 8.7 out of 10; our editors rank them #1 and #6.

OptoSoft offers free plan; iTRUST EHR doesn't. On deployment, OptoSoft gives you Hybrid where iTRUST EHR offers Cloud.

iTRUST EHR is the better fit for feature-rich optometry practices seeking cloud EHR. OptoSoft is the better fit for budget-conscious practices managing optical retail.

  • iTRUST EHR fits best

    Feature-rich optometry practices seeking cloud EHR

  • OptoSoft fits best

    Budget-conscious practices managing optical retail

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 ↗ OptoSoft 8.7/10 Visit ↗
At a glance
Editor score 9.3 8.7
Ranking #1 in Optometry Software #6 in Optometry Software
Best for Feature-rich optometry practices seeking cloud EHR Budget-conscious practices managing optical retail
Pricing model Paid Free plan + paid
Starting price — —
Free plan — ✓ (best)
Free trial 14 days —
Deployment Cloud Cloud, Self-hosted, Mobile
Platforms Web Web, iOS, Android
Support Email, Phone, Docs, Tickets Email, Phone
Integrations 15 integrations 3 integrations
Built for Small business, Mid-market, Enterprise Solo, Small business, Mid-market, Enterprise
Features iTRUST EHR 5/5 · OptoSoft 3/5
Optometry EHR ✓ ✓
Appointment scheduling ✓ ✓
Optical inventory ✓ ✓
Patient portal ✓ (best) Not checked yet
Telehealth ✓ (best) Not checked yet
Specs
Deployment Cloud Hybrid
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
  • Free plan covers patient records and prescription management
  • Links prescriptions to POS billing, work orders, and invoices
  • Tracks barcode inventory and supports multi-location stock transfers
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
  • Free plan is limited to patient records and prescription management
  • No diagnosis coding or electronic claim transmission
  • India-only plan features SMS integration for India
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 →

OptoSoft brings patient records, appointment scheduling, prescription management, and optical retail operations into one system. Its records cover case histories, examination findings, and spectacle and contact-lens prescriptions;…

Read the review →
  1. iTRUST EHROptometry Software 9.314-day trial
  2. OptoSoftOptometry Software 8.7Free plan

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

  • OptoSoft — where it wins

    • Free plan covers patient records and prescription management
    • Links prescriptions to POS billing, work orders, and invoices
    • Tracks barcode inventory and supports multi-location stock transfers

    Where it doesn't

    • Free plan is limited to patient records and prescription management
    • No diagnosis coding or electronic claim transmission
    • India-only plan features SMS integration for India
  • iTRUST EHR9.3/10 · 14-day trial

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

    Visit iTRUSTFull verdict →
  • OptoSoft8.7/10 · Free plan

    Broad practice and optical retail tools, with a free records plan and paid deployment options.

    Visit OptoSoftFull 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