Sight Sciences Reports First Quarter 2026 Financial Results and Raises Full Year 2026 Revenue Guidance
Rhea-AI Summary
Sight Sciences (Nasdaq: SGHT) reported Q1 2026 revenue of $19.7M (+13% Y/Y), with Interventional Glaucoma at $18.3M and Interventional Dry Eye at $1.4M (up 244% Y/Y). Gross margin was 86%. Q1 net loss was $13.0M (−$0.24 per share). Cash totaled $85.0M and long-term debt was $40.0M as of March 31, 2026. The company raised 2026 revenue guidance to $83.0M–$89.0M and reaffirmed adjusted operating expense guidance of $93.0M–$96.0M. A Delaware court awarded $55.4M plus a 10% ongoing royalty in a patent judgment, subject to appeal.
Positive
- Revenue +13% Y/Y to $19.7M
- Interventional Dry Eye revenue +244% Y/Y to $1.4M
- Raised 2026 revenue guidance to $83.0M–$89.0M
- Gross margin steady at 86%
- Cash improved: $85.0M on hand; cash usage down 40% Y/Y
Negative
- Q1 net loss of $13.0M (−$0.24 per share)
- Operating expenses include a $5.4M one-time litigation success fee
- Total long-term debt of $40.0M (pre-discount) remains on balance sheet
- Adjusted operating expenses guidance up to $93.0M–$96.0M
Key Figures
Market Reality Check
Peers on Argus
SGHT gained 2.61% while peers were mixed (e.g., BSGM up 39.91%, CVRX down 5.18%), pointing to a stock‑specific reaction to its earnings and guidance.
Previous Earnings Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Mar 04 | Q4/FY25 results | Positive | -26.8% | Reported Q4 growth, solid margins and initiated 2026 guidance with revenue growth targets. |
| Jan 13 | Prelim FY25 results | Negative | -7.8% | Issued preliminary Q4 and 2025 figures showing revenue decline and weaker Dry Eye revenue. |
| Nov 06 | Q3 2025 results | Positive | +16.4% | Raised 2025 revenue guidance and cut expense guidance despite flat overall revenue. |
| Aug 07 | Q2 2025 results | Neutral | +19.4% | Posted revenue decline but raised 2025 revenue guidance and highlighted strong account growth. |
| May 08 | Q1 2025 results | Negative | +1.6% | Reported double‑digit revenue decline tied to Medicare changes yet reaffirmed weaker 2025 outlook. |
Earnings releases have produced mixed reactions: some strong selloffs on seemingly positive updates and sharp rallies when guidance or cost controls surprised positively.
Recent earnings history shows SGHT repeatedly adjusting guidance and focusing on cost control. Q2 and Q3 2025 results featured raised full‑year revenue targets and lower adjusted operating expenses, with notable positive price reactions. In contrast, Q4 2025 results and preliminary figures, which included revenue declines, were followed by double‑digit declines. Today’s Q1 2026 report combines resumed growth, high gross margins, improved cash usage, and a guidance raise, continuing the shift toward more growth‑oriented commentary.
Historical Comparison
Over the last five earnings‑tagged releases, SGHT’s average move was about 0.57%. Today’s 2.61% gain is modestly larger but still within a historically typical range.
Earnings updates show a progression from revenue declines and Medicare‑driven pressure in 2025 toward resumed growth, sustained 86% gross margins, and repeated guidance raises into 2026.
Market Pulse Summary
This announcement highlighted a turn back to growth, with Q1 2026 revenue of $19.7M (+13% YoY), strong 86% gross margin, and cash use reduced to $7.0M. Interventional Dry Eye revenue expanded sharply, and full‑year 2026 revenue guidance increased to $83.0–$89.0M. The company also noted a $55.4M patent judgment and 10% Hydrus royalty, both subject to appeal. Investors may watch execution against guidance, segment growth mix, operating expense control, and litigation outcomes in future quarters.
Key Terms
non-GAAP financial measure financial
GAAP financial
Securities and Exchange Commission regulatory
AI-generated analysis. Not financial advice.
MENLO PARK, Calif., May 06, 2026 (GLOBE NEWSWIRE) -- Sight Sciences, Inc. (Nasdaq: SGHT) ("Sight Sciences" or the "Company"), an eyecare technology company focused on developing and commercializing innovative, interventional technologies intended to transform care and improve patients’ lives, today reported financial results for the first quarter ended March 31, 2026 and raised its revenue guidance for full year 2026.
Recent Financial and Business Highlights
- Generated total revenue of
$19.7 million in the first quarter of 2026, an increase of13% compared to the same period in the prior year. - Drove Interventional Glaucoma revenue growth of
7% in the first quarter of 2026, with revenue of$18.3 million compared to$17.1 million in the same period in the prior year. - Attained Interventional Dry Eye revenue of
$1.4 million in the first quarter of 2026, representing a244% increase from the same period in the prior year and an87% increase from the fourth quarter of 2025. - Achieved total gross margin of
86% in the first quarter of 2026, flat compared to the same period in the prior year. - Reduced cash usage to
$7.0 million in the first quarter 2026, representing a40% improvement compared to the same period in the prior year. Cash and cash equivalents totaled$85.0 million as of March 31, 2026. - Announced that the U.S. District Court for the District of Delaware issued its final judgment on post-trial motions in the Company’s patent infringement case against Alcon Inc., Alcon Vision, LLC, Alcon Research, LLC, and Ivantis, Inc. (collectively, Alcon), preserving the jury’s verdict of willful infringement and awarding the Company past monetary damages of
$55.4 million and an ongoing royalty of10% of Hydrus® Microstent revenue through expiration of the patents-in-suit. This judgment is subject to appeal.
“We delivered a strong start to 2026, with first quarter results reflecting a return to double-digit revenue growth, sustained gross margin strength, and disciplined operating expense and cash management,” said Paul Badawi, Co-Founder and CEO of Sight Sciences. “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. We remain focused on continued growth in combination-cataract procedures and activating standalone interventions in glaucoma, and accelerating growth and expanding access to reimbursed interventional TearCare® treatments.”
First Quarter 2026 Financial Results
Revenue for the first quarter of 2026 was
Gross profit for the first quarter of 2026 was
Total operating expenses were
Net loss was
Cash and cash equivalents totaled
2026 Financial Guidance
Sight Sciences raises its revenue guidance for full year 2026 to range from
The Company reaffirms its full year 2026 adjusted operating expenses1,3 guidance range of
1 “Adjusted operating expenses” is a financial measure not prepared in accordance with generally accepted accounting principles in the United States (“GAAP”, and therefore such a measure, is a “non-GAAP financial measure”), and is calculated as operating expenses less stock-based compensation expense, depreciation and amortization, restructuring costs, and other one-time costs. Please see the “Non-GAAP Financial Measures” section below for additional information.
2 A reconciliation of the non-GAAP financial measures to the most directly comparable GAAP financial measures has been provided in the table titled "Non-GAAP to GAAP Reconciliation" attached to this press release.
3 Consistent with Securities and Exchange Commission (“SEC”) regulations, the Company has not provided a reconciliation of forward-looking non-GAAP financial measures to the most directly comparable GAAP financial measures in reliance on the “unreasonable efforts” exception set forth in the applicable regulations, because there is substantial uncertainty associated with predicting any future adjustments that may be made to the Company’s GAAP financial measures in calculating the non-GAAP financial measures.
Non-GAAP Financial Measures
Adjusted operating expenses, a non-GAAP financial measure, is presented in this press release to provide information that may assist investors in understanding the Company's financial and operating results. The Company believes this non-GAAP financial measure is an important performance indicator because it excludes items that are unrelated to, and may not be indicative of, the Company's core financial and operating results. This non-GAAP financial measure, as calculated, may not necessarily be comparable to similarly titled measures of other companies and may not be an appropriate measure for comparing the performance of other companies relative to the Company. This non-GAAP financial measure is not intended to represent, and should not be considered to be a more meaningful measure than, or an alternative to, measures of operating performance as determined in accordance with GAAP. To the extent the Company utilizes such non-GAAP financial measure in the future, it expects to calculate it using a consistent method from period to period.
Conference Call
Sight Sciences' management team will host a conference call today, May 6, 2026, beginning at 1:30 p.m. Pacific Time / 4:30 p.m. Eastern Time. Investors interested in listening to the conference call may do so by accessing a live and archived webcast of the event at www.sightsciences.com, on the Investors page in the News & Events section.
About Sight Sciences
Sight Sciences is an eyecare technology company focused on developing and commercializing innovative and interventional solutions intended to transform care and improve patients’ lives. Using minimally invasive or non-invasive approaches to target the underlying causes of the world’s most prevalent eye diseases, Sight Sciences seeks to create more effective treatment paradigms that enhance patient care and supplant conventional outdated approaches. The Company’s OMNI® Surgical System and OMNI® Edge Surgical System are implant-free, minimally invasive glaucoma surgery technologies indicated in the United States to reduce intraocular pressure in adult patients with primary open-angle glaucoma. The OMNI Surgical System is CE Marked for the catheterization and transluminal viscodilation of Schlemm’s canal and cutting of the trabecular meshwork to reduce intraocular pressure in adult patients with open-angle glaucoma. Glaucoma is the world’s leading cause of irreversible blindness. The SION® Surgical System is a bladeless, manually operated device used in ophthalmic surgical procedures to excise trabecular meshwork. The Company’s TearCare® System is 510(k) cleared in the United States for the application of localized heat therapy in adult patients with evaporative dry eye disease due to meibomian gland disease (MGD), enabling clearance of gland obstructions by physicians to address the leading cause of dry eye disease. Visit www.sightsciences.com for more information.
Sight Sciences, TearCare, and SmartLids are trademarks of Sight Sciences registered in the United States. OMNI, SION, and the Sight Sciences logo are trademarks of Sight Sciences registered in the United States, European Union and other territories.
Hydrus® is a registered trademark of Alcon Vision LLC.
© 2026 Sight Sciences. All rights reserved.
Forward-Looking Statements
This press release, together with other statements and information publicly disseminated by the Company, contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The Company intends such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995 and includes this statement for purposes of complying with these safe harbor provisions. Any statements made in this press release or during the earnings call that are not statements of historical fact, including statements about our beliefs and expectations, are forward-looking statements and should be evaluated as such. Forward-looking statements include, but are not limited to, statements concerning the award of ongoing royalties in our ongoing litigation with Alcon; potential appeals or other post-judgment proceedings; our focus in 2026 on continued growth in combination-cataract procedures and activating standalone interventions in glaucoma, and accelerating growth and expanding access to reimbursed interventional TearCare treatments; 2026 revenue guidance and 2026 adjusted operating expenses guidance, including primary factors impacting this guidance.
These statements often include words such as "anticipate," "expect," “suggests,” “plan,” “believe,” “intend,” “estimates,” “targets,” “projects,” “should,” “could,” “would,” “may,” “will,” “forecast” and other similar expressions. We base these forward-looking statements on our current expectations, plans and assumptions we have made in light of our experience in the industry, as well as our perceptions of historical trends, current conditions, expected future developments and other factors we believe are appropriate under the circumstances at such time. Although we believe these forward-looking statements are based on reasonable assumptions at the time they are made, you should be aware that many factors could affect our business, results of operations and financial condition, including without limitation changes to reimbursement coverage or payment decisions or reimbursement rates for our products; pricing pressure or changes in market share resulting from the evolving competitive landscape; the impact of tariffs on our products and the medical device industry generally; and disruptions to or increased costs associated with our supply chain, including as a result of having a limited number of suppliers. Should our underlying assumptions prove incorrect, actual results may differ materially from those expressed in the forward-looking statements. These statements are not guarantees of future performance or results. These forward-looking statements are subject to and involve numerous risks, uncertainties and assumptions, including those discussed under the caption “Risk Factors” in our filings with the SEC, as may be updated from time to time in subsequent filings, and you should not place undue reliance on these statements. These cautionary statements are made only as of the date of this press release. We undertake no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by applicable law.
Investor contact:
Philip Taylor
Gilmartin Group
415.937.5406
Investor.Relations@Sightsciences.com
Media contact:
pr@SightSciences.com
| SIGHT SCIENCES, INC. Condensed Consolidated Balance Sheets (Unaudited) (in thousands, except share and per share data) | ||||||||
| March 31, | December 31, | |||||||
| 2026 | 2025 | |||||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 84,962 | $ | 91,965 | ||||
| Accounts receivable, net of allowance for credit losses of | 10,595 | 9,745 | ||||||
| Inventory, net | 7,007 | 7,767 | ||||||
| Prepaid expenses and other current assets | 3,948 | 3,257 | ||||||
| Total current assets | 106,512 | 112,734 | ||||||
| Property and equipment, net | 1,618 | 1,610 | ||||||
| Operating lease right-of-use assets | 1,202 | 438 | ||||||
| Other noncurrent assets | 370 | 518 | ||||||
| Total assets | $ | 109,702 | $ | 115,300 | ||||
| Liabilities and stockholders’ equity | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | 1,486 | $ | 1,343 | ||||
| Accrued compensation | 3,691 | 6,074 | ||||||
| Accrued and other current liabilities | 9,189 | 3,610 | ||||||
| Short-term debt, net | 3,797 | — | ||||||
| Total current liabilities | 18,163 | 11,027 | ||||||
| Long-term debt, net | 36,736 | 40,300 | ||||||
| Other noncurrent liabilities | 900 | 31 | ||||||
| Total liabilities | 55,799 | 51,358 | ||||||
| Commitments and contingencies | ||||||||
| Stockholders’ equity: | ||||||||
| Preferred stock, par value | — | — | ||||||
| Common stock, par value | 54 | 54 | ||||||
| Additional paid-in-capital | 451,552 | 448,611 | ||||||
| Accumulated deficit | (397,703 | ) | (384,723 | ) | ||||
| Total stockholders’ equity | 53,903 | 63,942 | ||||||
| Total liabilities and stockholders’ equity | $ | 109,702 | $ | 115,300 | ||||
| SIGHT SCIENCES, INC. Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited) (in thousands, except share and per share data) | ||||||||
| Three Months Ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| Revenue | $ | 19,698 | $ | 17,508 | ||||
| Cost of goods sold | 2,720 | 2,414 | ||||||
| Gross profit | 16,978 | 15,094 | ||||||
| Operating expenses: | ||||||||
| Research and development | 2,546 | 4,430 | ||||||
| Selling, general and administrative | 26,845 | 24,523 | ||||||
| Total operating expenses | 29,391 | 28,953 | ||||||
| Loss from operations | (12,413 | ) | (13,859 | ) | ||||
| Investment income | 741 | 1,148 | ||||||
| Interest expense | (1,268 | ) | (1,263 | ) | ||||
| Other expense, net | (29 | ) | (139 | ) | ||||
| Loss before income taxes | (12,969 | ) | (14,113 | ) | ||||
| Provision for income taxes | 11 | 41 | ||||||
| Net loss and comprehensive loss | $ | (12,980 | ) | $ | (14,154 | ) | ||
| Net loss per share attributable to common stockholders, basic and diluted | $ | (0.24 | ) | $ | (0.28 | ) | ||
| Weighted-average shares used in computing net loss per share attributable to common stockholders, basic and diluted | 53,943,085 | 51,290,665 | ||||||
| SIGHT SCIENCES, INC. Gross Margin Disaggregation (Unaudited) (in thousands) | ||||||||
| Three Months Ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| Revenue | ||||||||
| Surgical Glaucoma | $ | 18,344 | $ | 17,114 | ||||
| Dry Eye | 1,354 | 394 | ||||||
| Total revenue | 19,698 | 17,508 | ||||||
| Cost of goods sold | ||||||||
| Surgical Glaucoma | 2,342 | 2,298 | ||||||
| Dry Eye | 378 | 116 | ||||||
| Total cost of goods sold | 2,720 | 2,414 | ||||||
| Gross profit | ||||||||
| Surgical Glaucoma | 16,002 | 14,816 | ||||||
| Dry Eye | 976 | 278 | ||||||
| Total gross profit | 16,978 | 15,094 | ||||||
| Gross margin | ||||||||
| Surgical Glaucoma | 87.2 | % | 86.6 | % | ||||
| Dry Eye | 72.1 | % | 70.6 | % | ||||
| Total gross margin | 86.2 | % | 86.2 | % | ||||
| SIGHT SCIENCES, INC. GAAP to Non-GAAP Reconciliation (Unaudited) (in thousands) | ||||||||
| Three Months Ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| Operating Expenses: | ||||||||
| Total Operating Expenses | $ | 29,391 | $ | 28,953 | ||||
| Less: Stock-based Compensation | (2,732 | ) | (4,128 | ) | ||||
| Less: Depreciation and Amortization | (103 | ) | (158 | ) | ||||
| Less: Restructuring Costs | — | — | ||||||
| Less: Success Fee | (5,393 | ) | — | |||||
| Adjusted Operating Expenses(4) | 21,163 | 24,667 | ||||||
4 Please see section titled "Non-GAAP Financial Measures" for additional information.
| SIGHT SCIENCES, INC. Supplemental Financial Measures (Unaudited) | ||||||||
| Three Months Ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| Interventional Glaucoma active customers(5) | 1,175 | 1,108 | ||||||
| Interventional Dry Eye lid treatment units sold(6) | 1,534 | 1,029 | ||||||
| Interventional Dry Eye active customers(7) | 96 | 75 | ||||||
5 “Interventional Glaucoma active customers” means the number of customers who ordered the OMNI Surgical System or the SION Surgical Instrument during the three months ended March 31, 2026 and 2025.
6 “Interventional Dry Eye lid treatment units sold” means the quantity of TearCare SmartLids® sold during the three months ended March 31, 2026 and 2025.
7 “Interventional Dry Eye active customers” means the number of customers who ordered lid treatment units during the three months ended March 31, 2026 and 2025.
