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Head-to-head · Ophthalmology EMR Software

OpenEyes vs NextGen Ophthalmology

  • Updated Sep 2026
  • Both researched from official sources
  • 5 checks side by side
OpenEyes #5 in Ophthalmology EMR Software —/10 Free plan Free plan✓ 2 of 5 features Visit OpenEyes
NextGen Ophthalmology #8 in Ophthalmology EMR Software —/10 Pricing on request ✓ 3 of 5 features Visit NextGen

OpenEyes leads on 2 checks, NextGen Ophthalmology on 2, and 1 is even. Who comes out ahead on the 5 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Free planonly OpenEyes
  • Most featuresNextGen Ophthalmology · 3 of 5

Our editors rank OpenEyes at #5 and NextGen Ophthalmology at #8 for ophthalmology emr software; OpenEyes and NextGen Ophthalmology have no rubric score yet (facts researched, not yet scored), so the checks below decide.

OpenEyes offers free plan; NextGen Ophthalmology doesn't publish it. OpenEyes offers oct integration; NextGen Ophthalmology doesn't publish it. NextGen Ophthalmology offers patient portal; OpenEyes doesn't publish it. On deployment, OpenEyes gives you On-premise where NextGen Ophthalmology offers Cloud. NextGen Ophthalmology offers appointment scheduling; OpenEyes doesn't publish it.

OpenEyes is the better fit for organizations wanting open-source ophthalmology workflows. NextGen Ophthalmology is the better fit for practices prioritizing patient access and revenue-cycle.

  • OpenEyes fits best

    Organizations wanting open-source ophthalmology workflows

  • NextGen Ophthalmology fits best

    Practices prioritizing patient access and revenue-cycle

Advertiser disclosure: iTechGuides is reader-supported. We may earn a commission when you click some links. It never changes our verdict. How we rank.

Side by side

Feature OpenEyes —/10 Visit ↗ NextGen Ophthalmology —/10 Visit ↗
At a glance
Editor score — —
Ranking #5 in Ophthalmology EMR Software #8 in Ophthalmology EMR Software
Best for Organizations wanting open-source ophthalmology workflows Practices prioritizing patient access and revenue-cycle
Pricing model Free Paid
Starting price Not published Not published
Free plan ✓ (best) Not published
Free trial — —
Deployment Cloud, Self-hosted Cloud
Platforms Web Web, iOS, Android
Support Email, Phone, Community Phone, Live chat, Docs
Built for Mid-market, Enterprise Small business, Mid-market, Enterprise
Features OpenEyes 2/5 · NextGen Ophthalmology 3/5
Eye-care templates ✓ ✓
E-prescribing Not published Not published
OCT integration ✓ (best) Not published
Patient portal Not published ✓ (best)
Appointment scheduling Not published ✓ (best)
Specs
Deployment On-premise Cloud
Our review
Pros
  • Subspecialty exams, EyeDraw, operation notes, and prescribing
  • DICOM and OCT viewing linked to clinical timelines
  • Virtual-clinic worklists, audit, and clinical analytics
  • Ophthalmology-specific content, workflows, and AI-assisted exam notes
  • Self-scheduling, digital forms, messaging, virtual visits, and portal access
  • Revenue-cycle tools for coding, charges, claims scrubbing, and denial prevention
Cons
  • Clinical installations and workflow integrations may need paid services
  • Scheduling and a patient portal are not verified
  • Prescribing is documented, but electronic prescribing is not specified
  • Pricing requires a sales conversation rather than published plan rates
  • Cloud deployment does not provide an on-premises option
  • Specialty focus may be narrower for practices outside ophthalmology
Our verdict

OpenEyes is an ophthalmology-focused electronic patient record for organizations that want open-source clinical workflows. It runs in a web browser and supports subspecialty examination events, graphical eye documentation with EyeDraw,…

Read the review →

NextGen Ophthalmology combines an EHR with connected practice-management and patient-experience tools for ophthalmology practices. It is positioned for independent practices as well as mid-size and enterprise organizations.…

Read the review →
  1. OpenEyesOphthalmology EMR Software —Free plan
  2. NextGen OphthalmologyOphthalmology EMR Software —Pricing on request

Strengths and trade-offs

  • OpenEyes — where it wins

    • Subspecialty exams, EyeDraw, operation notes, and prescribing
    • DICOM and OCT viewing linked to clinical timelines
    • Virtual-clinic worklists, audit, and clinical analytics

    Where it doesn't

    • Clinical installations and workflow integrations may need paid services
    • Scheduling and a patient portal are not verified
    • Prescribing is documented, but electronic prescribing is not specified

  • NextGen Ophthalmology — where it wins

    • Ophthalmology-specific content, workflows, and AI-assisted exam notes
    • Self-scheduling, digital forms, messaging, virtual visits, and portal access
    • Revenue-cycle tools for coding, charges, claims scrubbing, and denial prevention

    Where it doesn't

    • Pricing requires a sales conversation rather than published plan rates
    • Cloud deployment does not provide an on-premises option
    • Specialty focus may be narrower for practices outside ophthalmology
  • OpenEyes—/10 · Free plan

    A broad ophthalmology EPR with subspecialty exams and imaging workflows.

    Visit OpenEyesFull verdict →
  • NextGen Ophthalmology—/10 · Pricing on request

    Ophthalmology-focused EHR pairing patient access features with revenue-cycle tools.

    Visit NextGenFull verdict →

More comparisons

All ophthalmology EMR software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026