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Sight Sciences, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 5 August 2026: press release. Guidance figures: 3 raised, 1 lowered, 1 narrowed. The quarter’s numbers.

Key takeaways

  • Revenue grew 20% year over year: Revenue was $23.4 million, up 20% from $19.6 million. Gross profit was $21.4 million, against $16.6 million a year earlier. Source
  • Glaucoma revenue grew 8%: Interventional Glaucoma revenue was $20.7 million, with growth primarily driven by increased volumes. Management called it the fourth consecutive quarter of growth. Source
  • Dry eye revenue reached a record: Interventional Dry Eye revenue was $2.7 million, driven by higher volumes and higher average selling prices. It was up 98% from $1.4 million in the first quarter. Source
  • Aetna added 25 million lives: Aetna, with about 25 million commercial covered lives, now treats certain implant-free glaucoma procedures as medically necessary for mild-to-moderate open-angle glaucoma when criteria are met. Retroactive to July 14, 2026. Source
  • Gross margin included tariff refunds: Total gross margin was 91%, including a $1.4 million tariff refund benefit. Excluding refunds it was 86%, against 85% a year earlier. Source
  • Cash usage fell 28%: Cash usage was $5.2 million, down 28% from $7.3 million. Non-recurring items were $3.8 million net; excluding them, cash usage was $1.4 million, down 81%. Source
  • Revenue guidance raised: Full-year 2026 revenue guidance is $88 million to $92 million, up from $83 million to $89 million. Source
  • Adjusted operating expense guidance reduced: Full-year adjusted operating expenses are guided at $92 million to $94 million, growth of 5% to 7%, down from $93 million to $96 million. Source

“Interventional Glaucoma revenue grew 8%, marking our fourth consecutive quarter of growth, and Interventional Dry Eye revenue nearly doubled sequentially for the second consecutive quarter and reached record quarterly sales.”

Paul Badawi, Co-Founder and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue Sourcefull year 2026$88 million to $92 millionRaised from $83 million to $89 million
Revenue growth Sourcefull year 202614% to 19%Raised from 7% to 15%
Interventional Glaucoma revenue Sourcefull year 2026$79 million to $81 millionNarrowed, low end up from $77 million to $81 million
Interventional Dry Eye revenue Sourcefull year 2026$9 million to $11 millionRaised from $6 million to $8 million
Adjusted operating expenses Sourcefull year 2026$92 million to $94 millionLowered from $93 million to $96 million

What changed from last quarter

  • Guidance raised: Total revenue guidance was raised from $83 million to $89 million to $88 million to $92 million. Source
  • Guidance raised: Dry eye revenue guidance was raised from $6 million to $8 million to $9 million to $11 million.
  • Guidance lowered: Adjusted operating expense guidance was reduced from $93 million to $96 million to $92 million to $94 million. Source
  • New: Aetna added about 25 million commercial covered lives for implant-free glaucoma procedures, with coverage retroactive to July 14, 2026. Source
  • New: The company received FDA 510(k) clearance for the OMNI Ultra Surgical System, with TruSync Plus technology. Source

Results and growth drivers

  • Revenue grew 20% year over year: Revenue was $23.4 million, up 20% from $19.6 million. Gross profit was $21.4 million, against $16.6 million a year earlier. Source
  • Net loss narrowed sharply: Net loss was $4.4 million, or $0.08 per share, against $11.9 million, or $0.23 per share. Loss from operations was $3.9 million, against $11.7 million. Source
  • Growth rose from first-quarter pace: First-quarter revenue had risen 13% to $19.7 million, so second-quarter growth of 20% was faster than the first quarter.

Segment results

  • Glaucoma revenue grew 8%: Interventional Glaucoma revenue was $20.7 million, with growth primarily driven by increased volumes. Management called it the fourth consecutive quarter of growth. Source
  • Dry eye revenue reached a record: Interventional Dry Eye revenue was $2.7 million, driven by higher volumes and higher average selling prices. It was up 98% from $1.4 million in the first quarter. Source
  • Glaucoma margin steady excluding refunds: Interventional Glaucoma gross margin was 92%, including a 6% tariff refund benefit. Excluding refunds it was 86%, in line with the prior-year period. Source

“Based on our year-to-date performance and business momentum, we are raising our 2026 revenue guidance, reducing our adjusted operating expense guidance and we believe we are well positioned for the second half of the year.”

Paul Badawi, Co-Founder and CEO

Products and customers

  • OMNI Ultra received FDA clearance: The FDA cleared OMNI Ultra with TruSync Plus technology. Management said it is designed to give surgeons improved procedural control, efficiency and versatility. Source
  • Glaucoma active customers edged up: Interventional Glaucoma active customers were 1,214, against 1,174 a year earlier and 1,175 in the first quarter of 2026. Source
  • Dry eye units and accounts climbed: Lid treatment units sold were 3,091, against 1,142 a year earlier. Active dry eye customers were 176, against 39, and 96 in the first quarter. Source

Reimbursement and coverage

  • Aetna added 25 million lives: Aetna, with about 25 million commercial covered lives, now treats certain implant-free glaucoma procedures as medically necessary for mild-to-moderate open-angle glaucoma when criteria are met. Retroactive to July 14, 2026. Source
  • Dry eye patient lives expanded: Estimated dry eye patient lives with reimbursement access rose by 4.1 million to 14.5 million, after insurers posted fee schedules aligned with updated Medicare pricing for CPT code 0563T. Source
  • Dry eye claims depend on necessity: Dry eye procedure claims are payable on individual medical necessity determinations, so payment depends on each case. Source

Costs, margins and pricing

  • Gross margin included tariff refunds: Total gross margin was 91%, including a $1.4 million tariff refund benefit. Excluding refunds it was 86%, against 85% a year earlier. Source
  • Dry eye margin rose on pricing: Dry eye gross margin excluding tariff refunds was 80%, up from 38% a year earlier, primarily due to higher average selling prices. Source
  • Operating expenses fell 11%: Total operating expenses fell 11% to $25.3 million, mainly from lower personnel-related expenses and stock-based compensation. Source
  • Research and development fell 43%: Research and development expenses were $2.5 million, down 43% from $4.4 million. Selling, general and administrative expenses were $22.8 million, down 5%. Source
  • Adjusted operating expenses fell 8%: Adjusted operating expenses, a non-GAAP measure that excludes stock-based compensation and depreciation and amortization, were $22.3 million, down 8%. Source

Cash, debt and tariff refunds

  • Cash usage fell 28%: Cash usage was $5.2 million, down 28% from $7.3 million. Non-recurring items were $3.8 million net; excluding them, cash usage was $1.4 million, down 81%. Source
  • Cash balance declined to $79.8 million: Cash and equivalents were $79.8 million at June 30, 2026, down from $85.0 million at March 31, 2026. Source
  • Long-term debt held at $40.0 million: Total long-term debt was $40.0 million before unamortized discount and issuance costs, the same as at March 31, 2026. Source

2026 guidance

  • Revenue guidance raised: Full-year 2026 revenue guidance is $88 million to $92 million, up from $83 million to $89 million. Source
  • Revenue growth range moved up: Guided growth is 14% to 19%, against 7% to 15% previously. Source
  • Glaucoma guidance low end raised: Interventional Glaucoma revenue is guided at $79 million to $81 million, growth of 4% to 7%, from $77 million to $81 million. Source
  • Dry eye guidance raised: Interventional Dry Eye revenue is guided at $9 million to $11 million, against $6 million to $8 million before and $1.6 million in 2025. Source
  • Adjusted operating expense guidance reduced: Full-year adjusted operating expenses are guided at $92 million to $94 million, growth of 5% to 7%, down from $93 million to $96 million. Source

Strategy and investment

  • Targeted investments raise expense guidance: Management attributed the expense increase to targeted investments in both segments, including market access efforts and commercial resources for dry eye and standalone glaucoma. Source
  • Interventional mindset cited: Management attributed performance to a growing interventional mindset across glaucoma and dry eye, along with its market-leading technologies. Source
  • Commercial teams focus on customers: Management credited experienced commercial teams that partner with customers, aiming to make interventional eye care the new standard of care. Source

Coming up, as management said on 5 August 2026

  • Second-half positioning: Management said it believes the company is well positioned for the second half of 2026, citing year-to-date performance and business momentum. Source

Figures management reported

FigureReported
Interventional Glaucoma active customers Source1,214 (2Q 2026); 1,174 (2Q 2025)
Interventional Dry Eye lid treatment units sold Source3,091 (2Q 2026); 1,142 (2Q 2025)
Interventional Dry Eye active customers Source176 (2Q 2026); 39 (2Q 2025)

Risks management discussed

  • Regulatory: Dry eye procedure claims are payable on individual medical necessity determinations, so reimbursement depends on each case. 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.