Sight Sciences, Inc.: Q4 FY2025 earnings call
What management said about Q4 FY2025, from the documents filed with the SEC on 4 March 2026: press release. Guidance figures: 4 new. The quarter’s numbers.
Key takeaways
- Fourth quarter revenue rose 7%: Fourth quarter revenue was $20.4 million, up from $19.1 million, an increase of 7% on the prior year quarter. Source
- Full year revenue fell 3%: Full year 2025 revenue was $77.4 million, down 3% from $79.9 million in 2024, with Interventional Glaucoma flat and Interventional Dry Eye lower. Source
- Dry Eye lid units sold fell: Dry Eye lid treatment units sold were 713 in the fourth quarter, against 1,125 a year earlier, while revenue per the release rose on higher average selling prices. Source
- Fourth quarter operating expenses fell 25%: Total operating expenses were $21.5 million, down 25%, primarily due to lower personnel-related expenses and stock-based compensation. Adjusted operating expenses were $18.9 million, down 23%. Source
- Cash use for year reached $28.4 million: Cash used in 2025 totaled $28.4 million, against $17.8 million in 2024. Cash and cash equivalents were $92.0 million at December 31, 2025, against $120.4 million a year earlier. Source
- 2026 revenue guided at $82M to $88M: Full year 2026 total revenue guidance is $82 million to $88 million, which the company describes as growth of 6% to 14% over 2025. Source
- Adjusted expenses guided at $93M to $96M: Full year 2026 adjusted operating expenses are guided at $93 million to $96 million, an increase of 6% to 9% over 2025. Source
“We closed the year with a solid fourth quarter, where we returned to growth in Interventional Glaucoma, demonstrated encouraging commercial traction following significant reimbursement milestones in Interventional Dry Eye, and continued our disciplined expense and cash management,”
Paul Badawi, Co-Founder and CEO of Sight Sciences
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Total revenue Source | full year 2026 | $82 million to $88 million, growth of 6% to 14% | New |
| Interventional Glaucoma revenue Source | full year 2026 | $77 million to $81 million, growth of 2% to 7% | New |
| Interventional Dry Eye revenue Source | full year 2026 | $5 million to $7 million | New |
| Adjusted operating expenses Source | full year 2026 | $93 million to $96 million, increase of 6% to 9% | New |
What changed from last quarter
- New guidance: Full year 2026 financial guidance was initiated in this release, covering total revenue, segment revenue and adjusted operating expenses. Source
- New: The segment called Surgical Glaucoma in the January preliminary release is called Interventional Glaucoma in this release.
Results and growth drivers
- Fourth quarter revenue rose 7%: Fourth quarter revenue was $20.4 million, up from $19.1 million, an increase of 7% on the prior year quarter. Source
- Full year revenue fell 3%: Full year 2025 revenue was $77.4 million, down 3% from $79.9 million in 2024, with Interventional Glaucoma flat and Interventional Dry Eye lower. Source
- Glaucoma growth from accounts and prices: Interventional Glaucoma revenue rose 5% in the fourth quarter, which management attributes to more ordering accounts and higher average selling prices. Source
- Full year net loss narrowed: Full year net loss was $38.4 million, or $(0.74) per share, against $51.5 million, or $(1.03) per share, in 2024. Loss from operations was $37.1 million, against $50.5 million. Source
- Prior-year quarter per-share figure differs: Fourth quarter net loss was $4.2 million, $(0.08) per share, against $11.8 million. The release text gives $0.23 for the prior-year quarter, while the statement of operations shows $(0.24). Source
- January preliminary revenue confirmed: The January preliminary estimates of $20.3 million to $20.4 million for fourth quarter revenue are consistent with the $20.4 million reported here.
Segments and products
- Glaucoma revenue flat for year: Interventional Glaucoma full year revenue was $75.7 million, unchanged from 2024, while fourth quarter Glaucoma revenue was $19.7 million. Source
- Dry Eye quarterly revenue rose on prices: Interventional Dry Eye revenue was $0.7 million in the fourth quarter, up from $0.3 million, which the company attributes primarily to increased average selling prices. Source
- Dry Eye full year revenue down: Interventional Dry Eye full year revenue was $1.6 million, compared with $4.0 million in 2024. Source
- Dry Eye reimbursement milestones cited: Management cited significant Dry Eye reimbursement milestones as preceding the commercial traction in the fourth quarter. The January release named two Medicare Administrative Contractor fee schedules. Source
“In 2026, we remain focused on building a leading interventional eye care company and leveraging the complementary nature of our two interventional businesses to drive synergistic growth with a pathway toward cashflow breakeven.”
Paul Badawi, Co-Founder and CEO of Sight Sciences
Customers and unit demand
- Glaucoma active customers rose: Interventional Glaucoma active customers, meaning customers who ordered the OMNI Surgical System or SION Surgical Instrument in the quarter, were 1,164 against 1,138. Source
- Dry Eye lid units sold fell: Dry Eye lid treatment units sold were 713 in the fourth quarter, against 1,125 a year earlier, while revenue per the release rose on higher average selling prices. Source
- Dry Eye active customers slightly lower: Interventional Dry Eye active customers, meaning customers who ordered lid treatment units in the quarter, were 81 against 83. Source
Operating expenses and restructuring
- Fourth quarter operating expenses fell 25%: Total operating expenses were $21.5 million, down 25%, primarily due to lower personnel-related expenses and stock-based compensation. Adjusted operating expenses were $18.9 million, down 23%. Source
- Full year operating expenses down 13%: Full year 2025 operating expenses were $103.8 million, down 13%. The release attributes the decrease to lower personnel-related expenses, legal expenses and stock-based compensation. Source
- Adjusted expenses exclude restructuring costs: Adjusted operating expenses were $87.8 million for 2025, down 13%. Stock-based compensation of $12.7 million, depreciation and amortization of $0.5 million and restructuring costs of $2.8 million were excluded. Source
- R&D and SG&A both lower: Research and development expenses were $2.4 million in the fourth quarter, down 43%. Selling, general and administrative expenses were $19.0 million, down 21%. Source
“These achievements underscore the strength of our interventional technologies and commercial infrastructure in the large and growing glaucoma and dry eye markets.”
Paul Badawi, Co-Founder and CEO of Sight Sciences
Gross margin and pricing
- Glaucoma fourth quarter margin rose: Interventional Glaucoma gross margin was 88.0% in the fourth quarter, against 87.4%, attributed to higher average selling prices and product mix, slightly offset by tariff costs. Source
- Dry Eye margin rose on prices: Interventional Dry Eye gross margin was 68.4% in the fourth quarter, up from 51.0%, which the company attributes primarily to higher average selling prices. Source
- Glaucoma full year margin fell on tariffs: Interventional Glaucoma full year gross margin was 86.8%, against 87.6%. The company attributes the decrease primarily to higher tariff costs. Source
- Full year gross margin rose slightly: Full year gross profit was $66.7 million against $68.3 million, primarily due to lower sales volume and product mix. Total gross margin was 86.2%, against 85.5%. Source
Cash, debt and balance sheet
- Cash use for year reached $28.4 million: Cash used in 2025 totaled $28.4 million, against $17.8 million in 2024. Cash and cash equivalents were $92.0 million at December 31, 2025, against $120.4 million a year earlier. Source
- Fourth quarter cash use was $0.4 million: Cash use in the fourth quarter was $0.4 million, which the company says reflects continued operating discipline. Source
- Long-term debt held at $40.0 million: Total long-term debt was $40.0 million before debt discount and amortized debt issuance costs, unchanged from December 31, 2024. Source
- Equity and inventory balances moved: Inventory was $7.8 million, against $6.3 million, and total stockholders' equity was $63.9 million, against $87.5 million at year end. Source
2026 guidance and investment
- 2026 revenue guided at $82M to $88M: Full year 2026 total revenue guidance is $82 million to $88 million, which the company describes as growth of 6% to 14% over 2025. Source
- Segment revenue guidance by segment: Glaucoma is guided at $77 million to $81 million, growth of 2% to 7%. Dry Eye is guided at $5 million to $7 million, compared with $1.6 million in 2025. Source
- Adjusted expenses guided at $93M to $96M: Full year 2026 adjusted operating expenses are guided at $93 million to $96 million, an increase of 6% to 9% over 2025. Source
- Expense rise tied to investments: The company says the rise in adjusted operating expenses primarily reflects targeted investments in both segments, including market access and commercial resources for the Dry Eye and standalone glaucoma markets. Source
Figures management reported
| Figure | Reported |
|---|---|
| Interventional Glaucoma active customers, Q4 2025 Source | 1,164 (1,138 in Q4 2024) |
| Interventional Dry Eye lid treatment units sold, Q4 2025 Source | 713 (1,125 in Q4 2024) |
| Interventional Dry Eye active customers, Q4 2025 Source | 81 (83 in Q4 2024) |
Risks management discussed
- External: Higher tariff costs reduced Interventional Glaucoma gross margin in 2025, according to the company. Source
Earlier plans management reported on
- Not stated: The January preliminary release said complete results would be announced in March 2026. This release, dated March 4, 2026, reports them.
Other quarters
Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.