Total Revenue Growth
Q4 total revenue was $20.4M, up 7% year-over-year, driven by strength in Interventional Glaucoma and early traction in Interventional Dry Eye.
Interventional Glaucoma Performance
Interventional Glaucoma revenue was $19.7M, up 5% year-over-year and flat sequentially; ordering accounts increased ~2% year-over-year and utilization remained healthy with higher Omni Edge usage driving higher average selling prices.
Interventional Dry Eye Commercial Momentum & Reimbursement Milestone
Interventional Dry Eye revenue reached $0.7M in Q4 (vs $0.3M prior year). Two MACs (Novitas and First Coast) established CPT 0563T pricing for TearCare, enabling a reimbursed business model. Q4 sales included ~700 SmartLids to ~80 accounts (about 30 new accounts).
Very Strong Gross Margins
Company-wide gross margin was 87% (consistent with prior year). Interventional Glaucoma gross margin improved to 88% (from 87%) and Interventional Dry Eye gross margin improved to 68% (from 51%), driven by higher average selling prices and favorable product mix.
Operating Expense Discipline and Reduced Loss
Total operating expenses fell 25% year-over-year to $21.5M and adjusted operating expenses fell 23% to $18.9M following an August 2025 reduction in force. Net loss narrowed to $4.2M ($0.08/sh) from $11.8M ($0.23/sh) year-over-year.
Strong Cash Management and Low Cash Usage
Cash and cash equivalents ended Q4 at $92M (down from $120.4M at end of 2024). Quarterly cash usage was only $0.4M—the lowest cash-usage quarter of the year—supporting management’s view of operating discipline and path toward cash flow breakeven without additional equity.
2026 Revenue Guidance and Growth Target
Management initiated full-year 2026 revenue guidance of $82M–$88M (6%–14% growth vs. 2025). Guidance splits include Interventional Glaucoma $77M–$81M (2%–7% growth) and Interventional Dry Eye $5M–$7M (vs $1.6M prior year), reflecting expected ramp of reimbursed TearCare.
Focused Commercial Investments to Scale
Company intends targeted market access and commercial investments in 2026—particularly to scale reimbursed Interventional Dry Eye and to develop the underpenetrated stand-alone Interventional Glaucoma market—while maintaining financial discipline.