Record Quarter and Year
Q4 revenue of $1.405 billion (up 7% constant currency) and Q4 adjusted EBITDA of $330 million (up 27% YoY) produced the highest revenue and highest adjusted EBITDA in company history; Q4 adjusted EBITDA margin was 23.5% (a 330 bps YoY expansion). Full-year revenue was $5.101 billion (up 5% YoY; up 6% excluding the enVista recall) and full-year adjusted EBITDA was $891 million with a 17.5% margin.
Strong Vision Care Performance
Vision Care Q4 revenue $778 million (up 5%); full-year Vision Care $2.923 billion (up 6%). Contact Lens growth: Q4 +8% and full year +7%; Daily Disposable SiHy (DD SiHy) grew 17% in Q4 and 28% for the full year; Ultra up 16% Q4 and 9% full year. U.S. contact lens growth Q4 +11%, international +6%.
Breakout Pharma: Miebo and Dry Eye Franchise
Pharma Q4 revenue $378 million (up 14%); full-year $1.284 billion (up 6%). Miebo: Q4 revenue $112 million (up 111% YoY and +33% sequentially); full-year Miebo $316 million (up 84%) and prescriptions grew 113% YoY with >2 million prescriptions reached. Company raised Miebo peak sales expectation from $500M previously to exceeding $600M.
Consumer Brand Momentum
Consumer dry eye portfolio Q4 revenue $116 million (up 6%); Blink grew 33% in Q4 and 38% constant currency revenue growth for 2025. LUMIFY Q4 revenue $63 million (up 24%) and full-year $221 million (up 16%). PreserVision AREDS3 began shipping (Feb 2) and Blink Triple Care preservative-free expected to ship March 1.
Surgical Recovering Post-Recall
Surgical Q4 revenue $249 million (up 3% YoY; up 6% excluding the enVista recall). Full-year Surgical $894 million (up 4% YoY; up 10% excluding recall). Premium IOLs grew 20% in Q4 and 26% for the full year; Implantables up 5% in Q4 and showed strong sequential improvement (24% sequential increase). Company returned to pre-recall levels ahead of schedule.
Pipeline Progress and R&D Outcomes
Multiple near-term and mid-term milestones: PreserVision AREDS3 shipping, Blink Triple Care shipping, CE mark submission for next-gen femtosecond laser (seeLYRA) planned, and first external study for new bioactive contact lens material met expectations. Q4 adjusted R&D investment was $94 million; full-year adjusted R&D $371 million (up 8%). On-track for a 2028 contact lens launch.
Ambitious but Clear 2026 Guidance
2026 guidance: revenue $5.375B–$5.475B (constant currency growth 5%–7%); adjusted EBITDA $1.0B–$1.05B (midpoint ~19% margin, ~15% EBITDA growth YoY); adjusted gross margin ~62%; R&D target of 7.5%–8% of revenue; CapEx ~ $285 million and interest expense ~ $365 million.
Improving Cash Flow and Capital Efficiency
Adjusted cash flow from operations was $152 million in Q4 and $381 million for the full year. Adjusted free cash flow was ~$76 million in Q4 and $32 million for the full year. Company lowered CapEx guidance (2026 ~ $285M vs 2025 $349M) and expects adjusted cash conversion to improve (~45% in 2026 trending to >50% by 2028).
Gross Margin and Cost Discipline
Q4 adjusted gross margin was 62.1% despite absorbing ~80 basis points of tariff headwinds; full-year adjusted gross margin was 61%. Company highlighted structural cost, SG&A efficiencies and Vision 27 program driving operating leverage that produced outsized EBITDA expansion versus revenue growth (Q4 EBITDA growth ~3x revenue growth).
Product and Geographic Diversification
Company highlighted broad contributions across Consumer, Vision Care, Pharma and Surgical segments; contact lens business outperformed markets (9% average constant currency revenue growth over 2024–2025 vs mid-single-digit industry growth) and China contact lens growth was resilient (7% Q4, 8% full year).