OpenEyes review
A broad ophthalmology EPR with subspecialty exams and imaging workflows.
Reviewed by iTechGuides Editors · Editorial team · Updated Nov 2026
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, operation notes with biometry details, and prescribing with formulary management. Its clinical scope also includes patient-linked clinician messaging, templated correspondence, virtual clinic review worklists, audit, and analytics. The combination is aimed at ophthalmology services with varied documentation and review needs rather than practices looking mainly for general-purpose patient administration.
Imaging is a particular strength. OpenEyes supports DICOM device integration and OCT image viewing, with imaging-linked clinical timelines; integrations also include OCT machines and visual field devices. These capabilities connect imaging review with the clinical record, while PAS integrations can support hospital workflow connections. The platform is available as web software and supports self-hosted deployment. For teams whose work depends on subspecialty exams, eye drawings, imaging review, and virtual-clinic queues, that breadth is a meaningful fit. Buyers focused chiefly on appointment scheduling or patient-facing portal functions should compare alternatives, since those workflows are not established here.
OpenEyes is free and open source, but that does not mean implementation and support are cost-free: professional services for clinical installation and support are separately priced. The vendor recommends its professional services network for installations and integrations with hospital workflows and devices, so organizations should account for that work when planning adoption. Support channels include email, phone, and community. OpenEyes is a stronger match for mid-market and enterprise organizations able to manage a clinical deployment and needing ophthalmology-specific documentation and imaging workflows; smaller teams seeking a packaged scheduling-and-portal experience may prefer a more general practice system.
Questions about OpenEyes
What does OpenEyes run on? Web. It runs in the cloud and self-hosted.
What does OpenEyes integrate with? 4 integrations: PAS systems, DICOM devices, OCT machines and visual field devices.
Who is OpenEyes built for? Mid-market companies and enterprises (our editorial estimate).
OpenEyes pros and cons
- 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
OpenEyes fact sheet, pricing and score →
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