Record Consolidated Net Sales and Raised Guidance
Q1 consolidated net sales of $150.6M, up 41% reported and 39% constant currency year-over-year. Raised full-year 2026 net sales guidance to $620M–$635M (from $600M–$620M).
U.S. Glaucoma Franchise Outperformance Driven by iDose TR
Record U.S. glaucoma net sales of $93.5M, growing 58% YoY. iDose TR generated approximately $54M in Q1 and was cited as a primary driver of the franchise's strong performance.
International Glaucoma Growth
International glaucoma record net sales of $35.8M, up 23% reported and 16% constant currency YoY, with contributions from iStent Infinite following EU MDR certification and launch.
Corneal Health and Epioxa Early Commercial Progress
Corneal Health net sales of $21.3M, up 15% YoY, including combined Fotrex (Fetrexan) and very early Epioxa sales of $17.7M. Epioxa achieved commercial availability and early encouraging surgeon feedback.
Epioxa Market-Access Milestones
Secured CMS product-specific J-code J2789 effective July 1, 2026. Early coverage pathways established for >100M covered commercial lives including 4 of the 5 largest payers. Site-of-care network currently serves ~65% of U.S. population with pipeline to ~95%.
iDose Clinical and Reimbursement Momentum
iDose supported by 22 peer‑reviewed publications and multiple active Phase IV studies. Broad payer access: ~99% of commercial & Medicare Advantage patients have an access pathway and ~50% sit in plans with specific policy language. Readministration (reimplantation) procedures observed post-approval.
Strong Gross Margin and Operational Discipline
Group gross margin of 84% in Q1, up ~120 basis points YoY. Company reiterates full-year gross margin expectation of 84%–86% and is focused on operating leverage and cash-flow breakeven.
Robust Pipeline and Product Timelines
Pipeline spans 5 therapeutic platforms with 13 disclosed programs. Key timelines: iDose Trio clinical study complete, planned filing by end of 2026 and targeted approval late 2027; ongoing pivotal trials for iDose TREX, iStent Infinite and PreserFlo MicroShunt; KC screening device planned introduction late 2026.