Top-Line Growth
Total company revenue of $1.244 billion in Q1, up 6% year-over-year on a constant currency basis; FX provided a tailwind of approximately $42 million in the quarter.
Strong Adjusted EBITDA and Margin Expansion
Adjusted EBITDA of $200 million, up 59% year-over-year; adjusted EBITDA margin expanded to 16.1%, a 500 basis point improvement versus prior year.
Improved Gross and SG&A Margins Driving Operating Leverage
Adjusted gross margin of 61.2%, up 170 basis points year-over-year; adjusted SG&A margin improved by ~340 basis points, supporting meaningful operating leverage.
Pharmaceutical Segment Outperformance
Pharma revenue of $305 million, up 12% on a constant currency basis (14% reported); Miebo revenue of $76 million (+33% YoY) and Xiidra revenue of $87 million (+30% YoY) demonstrating strong prescription growth and commercialization execution.
Vision Care and Contact Lens Momentum
Vision Care revenue of $711 million, up 5% YoY; contact lens revenue +5% with Daily SiHy growth of ~23% (management cited 23–25% range) and Ultra up 3%; U.S. contact lens growth +6%, international +4%.
Premium Surgical Franchise Progress
Surgical premium IOLs grew 27% constant currency; enVista U.S. sales +16% and Envy product up 88% YoY; U.S. system placements were nearly 3x prior-year levels, indicating strong premium adoption.
Pipeline and Regulatory Milestones
NDA filed for LUMIFY NXT and CE Mark submission completed for seeLYRA; PreserVision AREDS3 and Blink Triple Care preservative-free shipped in Q1; management highlighted active pipeline with 60+ programs advancing.
Increased R&D Investment While Growing Profitability
Invested approximately $101 million in adjusted R&D in Q1, an increase of ~15–17% YoY, while delivering substantial margin expansion—indicative of growth plus innovation balance.
Raised 2026 Financial Guidance
Full-year revenue guidance increased by $45 million to $5.42B–$5.52B (constant currency growth ~5.3%–7.2%); full-year adjusted EBITDA guidance raised by $10 million to $1.01B–$1.06B (implied margin ~19% at midpoint).
Improved Cash/Capital and Leverage Progress
Adjusted EPS (ex Acquired IPR&D) of $0.08 vs. loss of $0.07 prior year; net leverage improved in the quarter with a target to reach ~3.5x by end of 2028; Q1 CapEx $100 million (full-year ~ $285 million) and adjusted operating cash flow of $45 million reflecting seasonal cadence.