RxSight (RXST) grows LAL volume but posts wider 2025 loss, soft 2026 outlook
Rhea-AI Filing Summary
RxSight, Inc. reported mixed fourth quarter and full-year 2025 results, highlighted by strong adoption of its Light Adjustable Lens (LAL) but weaker Light Delivery Device (LDD) sales. Full-year revenue was $134.5 million, down 4% from 2024, as 12% LAL growth was offset by a 48% drop in LDD system sales.
Gross profit for 2025 rose to $103.0 million, with margin improving to 76.6% from 70.7%, driven by a higher mix of LAL revenue. Operating expenses increased 11% to $151.2 million, reflecting commercial expansion, R&D and marketing, leading to a wider net loss of $38.9 million, or $(0.95) per share. Adjusted net loss was $7.3 million, or $(0.18) per share.
In Q4 2025, revenue was $32.6 million, down 19% year over year, with LAL revenue down 1% and LDD revenue down 72% after record placements in the prior year quarter. Q4 gross margin improved to 77.5%, while net loss was $9.2 million. The company ended 2025 with $228.1 million in cash, cash equivalents and short-term investments and an installed base of 1,134 LDDs supporting 109,615 LAL units sold in 2025.
For 2026, RxSight guided to revenue of $120.0–$135.0 million, gross margin of 70%–72%, operating expenses of $150.0–$160.0 million, and non-cash stock-based compensation of $30.0–$32.0 million, reflecting expectations for lower LDD placements and higher per-unit manufacturing costs.
Positive
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Negative
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Insights
LAL adoption and margins improved, but device sales and losses weigh on results.
RxSight showed clear traction in its core Light Adjustable Lens business in 2025, with LAL unit sales up
However, total revenue fell
The 2026 outlook, with revenue of
