Return to Double‑Digit Revenue Growth
Total revenue for Q1 2026 was $19.7M, up 13% year‑over‑year, led by growth in both Interventional Glaucoma and Interventional Dry Eye.
Interventional Glaucoma Growth and Momentum
Interventional Glaucoma revenue was $18.3M, a 7% increase year‑over‑year; ordering accounts grew 6% YoY and 1% sequentially. This marked the third consecutive quarter of YoY growth and strong March momentum.
Early Commercial Traction in Interventional Dry Eye
Interventional Dry Eye revenue was $1.4M (up from $400K), nearly doubling sequentially. ~1,500 SmartLids sold in Q1 vs ~700 previously (~114% increase), with 96 active accounts and average SmartLids utilization per active account rising from 9 to ~16 (~78% increase). About half of active accounts came from the existing glaucoma customer base, showing cross‑sell synergies.
Raised 2026 Revenue Guidance
Full‑year 2026 revenue guidance increased to $83M–$89M (7%–15% growth vs 2025). Interventional Glaucoma guidance of $77M–$81M (2%–7% growth) and Interventional Dry Eye guidance of $6M–$8M (vs $1.6M prior year) were provided.
Strong Gross Margins
Overall gross margin remained robust at 86% (flat YoY). Interventional Glaucoma margin was 87% and Interventional Dry Eye margin improved to 72% (from 71%).
Improved Operating Discipline
Adjusted operating expenses were $21.2M, down 14% YoY. Excluding a one‑time $5.4M item tied to the litigation judgment, operating expenses fell ~17%, reflecting earlier workforce reductions and cost control.
Improved Cash Usage and Path to Breakeven
Cash used in the quarter was $7M, down from $11.6M in the prior year quarter (a ~40% reduction). Cash and equivalents ended the quarter at $85M. Management reiterated a path to cash‑flow breakeven without raising equity.
Favorable Legal Ruling (Potential Financial Upside)
Court upheld a judgment against Alcon confirming past damages, interest and royalties totaling approximately $55M and ongoing royalties of 10% of Hydrus revenue through patent expiration; ruling is subject to appeal and no cash has been received to date.