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Sight Sciences, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 6 May 2026: press release. Guidance figures: 2 raised, 2 kept. The quarter’s numbers.

Key takeaways

  • Total revenue rose 13% year over year: Total revenue was $19.7 million, up from $17.5 million a year earlier. Management described the result as a return to double-digit revenue growth. Source
  • Full-year revenue range raised: The 2026 revenue range moved up by $1.0 million at each end, to $83.0 million to $89.0 million, representing growth of 7% to 15%. Source
  • Dry Eye revenue up 244% year over year: Interventional Dry Eye revenue was $1.4 million, against $0.4 million a year earlier. The CEO said it nearly doubled sequentially. Source
  • Adjusted operating expenses down 14%: Adjusted operating expenses were $21.2 million, against $24.7 million a year earlier. The measure excludes stock-based compensation, depreciation and one-time costs. Source
  • Cash use cut 40% to $7.0 million: Cash usage in the quarter was $7.0 million, a 40% improvement on the same period a year earlier. Source
  • Alcon final judgment entered: The Delaware court's final judgment on post-trial motions preserved the jury's willful infringement verdict and awarded $55.4 million in past monetary damages. Source

“Execution was solid across both segments, including a third consecutive quarter of revenue growth in Interventional Glaucoma and continued momentum in Interventional Dry Eye, where revenue nearly doubled sequentially.”

Paul Badawi, Co-Founder and CEO of Sight Sciences

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue SourceFull year 2026$83.0 million to $89.0 millionRaised from $82.0 million to $88.0 million
Interventional Glaucoma revenue SourceFull year 2026$77.0 million to $81.0 millionKept
Interventional Dry Eye revenue SourceFull year 2026$6.0 million to $8.0 millionRaised from $5 million to $7 million
Adjusted operating expenses SourceFull year 2026$93.0 million to $96.0 millionKept

What changed from last quarter

  • Guidance raised: Full-year 2026 total revenue range raised from $82.0 million to $88.0 million to $83.0 million to $89.0 million. Source
  • Guidance raised: Dry Eye segment revenue range raised from $5 million to $7 million to $6 million to $8 million. Source
  • Guidance kept: Adjusted operating expenses range of $93 million to $96 million reaffirmed. Source
  • New: Final judgment in the Alcon patent case, which the March release did not mention. Source

Revenue and full-year guidance

  • Total revenue rose 13% year over year: Total revenue was $19.7 million, up from $17.5 million a year earlier. Management described the result as a return to double-digit revenue growth. Source
  • Full-year revenue range raised: The 2026 revenue range moved up by $1.0 million at each end, to $83.0 million to $89.0 million, representing growth of 7% to 15%. Source
  • Gross profit rose to $17.0 million: Gross profit was $17.0 million against $15.1 million a year earlier. Total gross margin was 86%, flat year over year. Source
  • Net loss narrowed to $13.0 million: Net loss was $13.0 million, or $0.24 per share, compared with $14.2 million, or $0.28 per share, a year earlier. Source

Segment results

  • Glaucoma revenue up 7% on accounts and prices: Interventional Glaucoma revenue reached $18.3 million, up from $17.1 million. The company attributed growth to more ordering accounts and higher selling prices. Source
  • Dry Eye revenue up 244% year over year: Interventional Dry Eye revenue was $1.4 million, against $0.4 million a year earlier. The CEO said it nearly doubled sequentially. Source
  • Dry Eye growth from prices and utilization: The company attributed the Dry Eye increase primarily to higher average selling prices, higher utilization and more ordering accounts than in the prior-year quarter. Source

“first quarter results reflecting a return to double-digit revenue growth, sustained gross margin strength, and disciplined operating expense and cash management”

Paul Badawi, Co-Founder and CEO of Sight Sciences

Customers and unit volumes

  • Glaucoma active customers rose to 1,175: Interventional Glaucoma active customers, meaning customers who ordered the OMNI or SION system in the quarter, were 1,175, against 1,108 a year earlier. Source
  • Dry Eye lid units sold rose: Lid treatment units sold were 1,534, against 1,029 a year earlier. The fourth quarter of 2025 recorded 713 units. Source
  • Dry Eye active customers reached 96: Dry Eye active customers, meaning customers who ordered lid treatment units in the quarter, were 96, against 75 a year earlier. Source

Gross margin and tariffs

  • Glaucoma margin held at 87%: Glaucoma gross margin was 87%, in line with last year. Higher average selling prices and mix were offset by higher tariff expense. Source
  • Dry Eye margin rose to 72%: Dry Eye gross margin was 72%, up from 71%. The company cited higher average selling prices, with a one-time inventory overhead adjustment in the prior-year quarter. Source
  • Total gross margin flat at 86%: Total gross margin was 86%, unchanged from the prior-year quarter. Source

Operating expenses

  • Adjusted operating expenses down 14%: Adjusted operating expenses were $21.2 million, against $24.7 million a year earlier. The measure excludes stock-based compensation, depreciation and one-time costs. Source
  • Total operating expenses up 2%: Total operating expenses were $29.4 million, up from $29.0 million. The rise was primarily due to a one-time success fee, partly offset by lower personnel and stock-based compensation. Source
  • R&D spending down 43%: Research and development expense was $2.5 million, down from $4.4 million a year earlier. Source
  • SG&A up 9% year over year: Selling, general and administrative expense was $26.8 million, up from $24.5 million. The release does not state the driver. Source

Cash and balance sheet

  • Cash use cut 40% to $7.0 million: Cash usage in the quarter was $7.0 million, a 40% improvement on the same period a year earlier. Source
  • Cash balance $85.0 million at March 31: Cash and cash equivalents were $85.0 million, down from $92.0 million at year-end 2025. Gross long-term debt stayed at $40.0 million. Source
  • Short-term debt appears on balance sheet: Short-term debt, net was $3.8 million at March 31, 2026, with none reported at December 31, 2025. The release gives no explanation. Source

Alcon patent judgment

  • Alcon final judgment entered: The Delaware court's final judgment on post-trial motions preserved the jury's willful infringement verdict and awarded $55.4 million in past monetary damages. Source
  • Ongoing 10% royalty on Hydrus revenue: The judgment provides an ongoing royalty of 10% of Hydrus Microstent revenue, running through expiration of the patents-in-suit. Source
  • Judgment subject to appeal: The company said the judgment is subject to appeal. The release gives no timing for any appeal. Source

2026 investment and priorities

  • Investment behind expense increase: The company attributes the 2026 expense increase to targeted investments in both segments, including market access and commercial resources for dry eye and glaucoma. Source
  • Combination-cataract and standalone glaucoma focus: Management said its 2026 focus is continued growth in combination-cataract procedures and activating standalone interventions in glaucoma. Source
  • Reimbursed TearCare access expansion: Management also named accelerating growth and expanding access to reimbursed TearCare treatments as a 2026 priority. Source

Figures management reported

FigureReported
Interventional Glaucoma active customers Source1,175 (1,108 prior year)
Interventional Dry Eye lid treatment units sold Source1,534 (1,029 prior year)
Interventional Dry Eye active customers Source96 (75 prior year)

Risks management discussed

  • External: Increased tariff expense offset part of the Glaucoma margin gains from higher average selling prices and mix. Source
  • Demand: Lower utilization per account partly offset the Glaucoma revenue growth from more ordering accounts and higher prices. Source
  • Regulatory: The Alcon judgment remains subject to appeal, and the release gives no timing for any appeal. Source

Earlier plans management reported on

  • Not stated: Management reaffirmed the adjusted operating expenses range first given in the March release. Source

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.