Which Is the Best Optometry EHR in 2025? (Real Comparisons, Real Answers)

If you search “Best Optometry EHR” right now, you’ll see forum threads like this Reddit discussion, where dozens of eye care professionals share their frustrations with clunky software and long learning curves.
That feedback is real — but the answers are often scattered, outdated, or biased toward legacy systems. In this post, we’ll cut through the noise and show how today’s leading platforms stack up, and why iTRUST is increasingly being chosen by practices that want simplicity, speed, and growth.
What Practices Actually Care About
When evaluating an EHR, these are the features that matter most:
- Charting efficiency → Can doctors finish records quickly without clicks slowing them down?
- Billing + claims → Is the software helping revenue flow, or causing denials and delays?
- Scheduling + patient flow → Can front desk staff manage patients without bottlenecks?
- Ease of training → How long does it take new staff to become productive?
- Support + reliability → When something breaks, is support fast and effective?
Comparison: Compulink vs RevolutionEHR vs iTRUST
Feature | Compulink | RevolutionEHR | iTRUST |
---|---|---|---|
Learning Curve | Steep (legacy menus) | Moderate | Fast, modern design |
Charting Speed | Click-heavy | Standard | Autocoding, templates, AI scripting |
Billing + Claims | Strong but complex | Requires add-ons | Built-in clearinghouse + POS |
Patient Scheduling | Included, interface dated | Basic | Smart scheduling + reminders |
AI/Automation | Limited | None | AI Receptionist + 2-way texting |
Cloud Access | Hybrid | Cloud | 100% Cloud, HIPAA secure |
Support | Long wait times | Mixed reviews | Dedicated, fast response |
👉 Bottom line: Compulink and RevolutionEHR are still widely used, but both are aging systems with heavier training requirements. iTRUST is leaner, faster, and designed specifically for modern optometry and ophthalmology practices.
Why iTRUST Is the Best Optometry EHR in 2025
- Save Time Daily → Autocoding and smart charting reduce clicks and exam time.
- All-in-One Workflow → EHR, billing, claims, optical POS, scheduling, and communication in one system.
- AI Receptionist Advantage → Offload calls, scheduling, and insurance checks with an AI receptionist that ties into VOIP + EHR.
- Easy Staff Training → Most practices get staff fully trained in days, not months.
- Affordable, Transparent Pricing → Flat monthly rate with clear add-ons.
Real-World Results
Practices using iTRUST report:
- 30–40% faster charting compared to legacy EHRs
- Reduced billing errors and faster claims reimbursement
- Smoother onboarding for new staff with intuitive workflows
- Better patient communication (text + WhatsApp integration)
FAQs: Best EHR for Optometry in 2025
Q: What is the best EHR for small vs. large practices?
A: For small practices, ease of use and cost matter most. iTRUST keeps overhead low. For larger groups, iTRUST supports multi-location workflows and scales without heavy IT.
Q: How does iTRUST compare to Compulink and RevolutionEHR?
A: Both Compulink and Revolution are established but have dated interfaces and slower workflows. iTRUST is modern, cloud-native, and offers automation features they don’t.
Q: How much does iTRUST cost?
A: iTRUST starts at $159/mo (yearly) with bundles for billing, claims, and POS. See pricing here.
Final Take
Forums like Reddit’s Eye On Optometry highlight the frustrations practices face with outdated EHRs.
If you want a system that’s modern, easy to use, and actually designed for optometry and ophthalmology in 2025, iTRUST is the clear choice.
👉 Book a Demo Today and see how iTRUST can save your practice time, money, and stress.