RxSight, Inc. Reports First Quarter 2026 Results and Reiterates Full-Year Sales Outlook
Rhea-AI Summary
RxSight (NASDAQ: RXST) reported Q1 2026 revenue of $30.9 million, down 18.5% year‑over‑year, with 27,472 LAL units and 20 LDDs sold, expanding the installed base to 1,154 LDD units. Gross margin was 76.1%. Net loss was $15.9 million (−$0.38/share). Cash and short‑term investments totaled $217.9 million. 2026 guidance reiterated: revenue $120–$135 million, gross margin 70–72%, and operating expenses at the high end of the prior $150–$160 million range.
Positive
- 2026 revenue guidance reiterated at $120–$135 million
- Installed base expanded to 1,154 LDD units after Q1 sales of 20 devices
- Liquidity of $217.9 million in cash, cash equivalents and short-term investments
Negative
- Q1 revenue $30.9M, down 18.5% YoY
- Net loss widened to $15.9M (−$0.38 per share)
- Adjusted net loss was $7.9M (−$0.19 per share), larger than prior year
News Market Reaction – RXST
In the May 7 session, RXST declined 14.45%, reflecting a significant negative market reaction. Argus tracked a trough of -20.8% from its starting point during tracking. Our momentum scanner triggered 38 alerts that day, indicating elevated trading interest and price volatility. Trading volume was above average at 1.6x the daily average, suggesting increased trading activity.
Data tracked by StockTitan Argus on the day of publication.
Key Figures
Previous Earnings Reports
| Date | Event | Sentiment | 24h Move | Catalyst |
|---|---|---|---|---|
| Jan 11 | Prelim 2025 results | Positive | +14.1% | Preliminary Q4 and 2025 revenue above prior guidance plus new CFO appointment. |
| Nov 05 | Q3 2025 earnings | Positive | +3.2% | Q3 2025 results with strong gross margin and narrowed, raised full‑year guidance. |
| Aug 07 | Q2 2025 earnings | Negative | -7.7% | Q2 2025 revenue decline and wider loss despite higher LAL volume and better margins. |
| Jul 08 | Q2 2025 prelim, guide cut | Negative | -37.8% | Preliminary Q2 2025 miss and substantial full‑year revenue guidance reduction. |
| May 07 | Q1 2025 earnings | Positive | -11.2% | Strong Q1 2025 growth in revenue and LAL units with guidance maintained. |
24h Move is the share-price change in the day after each event; other market factors may also have contributed.
Earnings-related releases have usually seen price moves that align with the news tone, with only one notable divergence on strong Q1 2025 results.
Recent earnings and guidance updates for RxSight show a pattern of revenue pressure alongside improving gross margins and an expanding LAL and LDD base. Prior releases highlighted guidance cuts in July 2025, mixed quarterly trends, and later a preliminary FY2025 revenue beat at $134.5M with a new CFO. The current Q1 2026 report, with sales of $30.9M, lower LDD volume but stable guidance and strong clinical data, fits into this narrative of transitioning from aggressive growth to more measured expansion.
Key Terms
light adjustable lens medical
light delivery devices medical
american society of cataract and refractive surgery medical
meta-analysis medical
diopters medical
non-cash stock-based compensation expense financial
AI-generated analysis. How Rhea-AI works. Not financial advice.
ALISO VIEJO, Calif., May 06, 2026 (GLOBE NEWSWIRE) -- RxSight, Inc. (NASDAQ: RXST) today reported financial results for the quarter ended March 31, 2026.
Strategic Highlights and Recent Developments
- Q1 sales of
$30.9 million driven by 27,472 Light Adjustable Lens (LAL) units - 20 Light Delivery Devices (LDDs) sold in Q1, expanding the installed base to 1,154 units
- Robust clinical data presented at the recent American Society of Cataract and Refractive Surgery (ASCRS) annual meeting highlighting the versatility and impact of adjustability
- Recent regulatory approval in New Zealand furthering the company’s international footprint and global market opportunity
- 2026 sales and gross margin guidance unchanged; operating expense expected to be at high end of previous range reflecting targeted investments in strategic growth initiatives
“We are encouraged by the stabilizing business trends and the initial progress from our ongoing commercial initiatives,” said Ron Kurtz, President and Chief Executive Officer of RxSight. “As we continue to refine these efforts, investing in both our team and our pipeline, we are confident that we can continue to build momentum across the company and reach the full potential of our technology for patients and practices.”
First Quarter Financial Results
In the first quarter of 2026, the company reported sales of
First quarter gross profit margin of
Total operating expenses were
In the first quarter of 2026, the company reported a net loss of
As of March 31, 2026, cash, cash equivalents and short-term investments totaled
2026 ASCRS Highlights
At the recent ASCRS annual meeting, RxSight technology was featured across multiple scientific presentations addressing refractive accuracy, complex cases and evolving treatment strategies. This rapidly expanding body of clinical evidence highlighted both the versatility and impact of adjustability. In addition, the conference included presentations by Dr. Szabo, who reported binocular LAL outcomes in which
2026 Guidance
The company’s 2026 financial guidance is as follows:
- Revenue of
$120 t o$135 million , in-line with previous guidance - Gross margin of
70% to72% , in-line with previous guidance - Operating expenses expected to be at the high-end of previous
$150 t o$160 million range - Non-cash stock-based compensation expense of
$30 t o$32 million , in-line with previous guidance
Conference Call
On Wednesday, May 6, 2026, at 1:30 p.m. Pacific Time, the company will host a conference call to discuss its first quarter 2026 financial results. To participate in the conference call, please dial (800) 715-9871 or (646) 307-1963 and enter the conference code: 2630350. The call will also be broadcast live in listen-only mode via a link on the company’s investor relations website at https://investors.rxsight.com/. An archived recording of the call will be available through the same link shortly after its completion.
About RxSight, Inc.
RxSight, Inc. is an ophthalmic medical device company dedicated to providing high-quality customized vision to patients following cataract surgery. The RxSight Light Adjustable Lens system, comprised of the RxSight Light Adjustable Lens (LAL/LAL+, collectively the “LAL”), RxSight Light Delivery Device (LDD) and accessories, is the first and only commercially available intraocular lens (IOL) technology that can be adjusted after surgery, enabling doctors to customize and deliver high-quality vision to patients after cataract surgery. Additional information about RxSight can be found at www.rxsight.com.
Forward-Looking Statements
This press release contains forward-looking statements, including: including statements regarding the company’s expectations related to stabilizing business trends; the initial progress from its ongoing commercial initiatives; ongoing refinement of its commercial efforts; continued investments in its team and pipeline; its ability to build momentum across the company; and its ability to reach the full potential of its technology for patients and practices. Such statements relate to future events or our future financial performance and involve known and unknown risks, uncertainties and other factors that may cause our or our industry's actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed, implied or inferred by these forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as "may," "will," "should," "could," "would," "expects," "plans," "intends," "anticipates," "believes," "estimates," "predicts," "projects," "potential," or "continue" or the negative of such terms and other same terminology. These statements are only predictions based on our current expectations and projections about future events. You should not place undue reliance on these statements. Actual events or results may differ materially. In evaluating these statements, you should specifically consider various factors, including the risk factors that may be found in the section entitled Part II, Item 1A (Risk Factors) in the Quarterly Report on Form 10-Q for the three months ended March 31, 2026, filed with the Securities and Exchange Commission (SEC) on or about the date hereof, and the other documents that RxSight may file from time to time with the SEC. These and other factors may cause our actual results to differ materially from any forward-looking statement. We undertake no obligation to update any of the forward-looking statements after the date of this press release to conform those statements to reflect the occurrence of unanticipated events, except as required by applicable law.
RxSight, Inc., the RxSight Light Adjustable Lens LAL, LAL+, and LDD are trademarks of RxSight, Inc.
Investor Relations Contact:
Oliver Moravcevic
VP, Investor Relations
omoravcevic@rxsight.com
| RxSight, Inc. CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (UNAUDITED) (In thousands, except share and per share amounts) | |||||||
| Three Months Ended March 31, | |||||||
| 2026 | 2025 | ||||||
| Sales | $ | 30,893 | $ | 37,895 | |||
| Cost of sales | 7,395 | 9,566 | |||||
| Gross profit | 23,498 | 28,329 | |||||
| Operating expenses: | |||||||
| Selling, general and administrative | 31,855 | 28,636 | |||||
| Research and development | 9,472 | 10,367 | |||||
| Total operating expenses | 41,327 | 39,003 | |||||
| Loss from operations | (17,829 | ) | (10,674 | ) | |||
| Other income (expense), net: | |||||||
| Interest expense | (3 | ) | (6 | ) | |||
| Interest and other income | 1,954 | 2,508 | |||||
| Loss before income taxes | (15,878 | ) | (8,172 | ) | |||
| Income tax expense | 6 | 18 | |||||
| Net loss | $ | (15,884 | ) | $ | (8,190 | ) | |
| Other comprehensive loss | |||||||
| Unrealized loss on short-term investments | (120 | ) | (157 | ) | |||
| Foreign currency translation gain | — | 6 | |||||
| Total other comprehensive loss | (120 | ) | (151 | ) | |||
| Comprehensive loss | $ | (16,004 | ) | $ | (8,341 | ) | |
| Net loss per share: | |||||||
| Basic & diluted | $ | (0.38 | ) | $ | (0.20 | ) | |
| Weighted-average shares used in computing net loss per share: | |||||||
| Attributable to common stock, basic & diluted | 41,306,110 | 40,509,646 | |||||
| RxSight, Inc. CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) (In thousands, except share and per share amounts) | ||||||||
| March 31, | December 31, | |||||||
| 2026 | 2025 | |||||||
| (Unaudited) | ||||||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 17,573 | $ | 19,949 | ||||
| Short-term investments | 200,307 | 208,179 | ||||||
| Accounts receivable, net | 22,443 | 23,383 | ||||||
| Inventories, net | 34,869 | 31,559 | ||||||
| Prepaid and other current assets | 4,032 | 4,389 | ||||||
| Total current assets | 279,225 | 287,459 | ||||||
| Property and equipment, net | 13,232 | 13,056 | ||||||
| Operating leases right-of-use assets | 9,760 | 9,959 | ||||||
| Restricted cash | 750 | 750 | ||||||
| Other assets | 1,026 | 590 | ||||||
| Total assets | $ | 303,993 | $ | 311,814 | ||||
| Liabilities and stockholders' equity | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | 7,124 | $ | 5,296 | ||||
| Accrued expenses and other current liabilities | 18,748 | 19,795 | ||||||
| Lease liabilities | 1,504 | 1,162 | ||||||
| Total current liabilities | 27,376 | 26,253 | ||||||
| Long-term lease liabilities | 9,322 | 9,878 | ||||||
| Other long-term liabilities | — | — | ||||||
| Total liabilities | 36,698 | 36,131 | ||||||
| Commitments and contingencies | ||||||||
| Stockholders' equity: | ||||||||
| Common stock, | 41 | 41 | ||||||
| Preferred stock, | — | — | ||||||
| Additional paid-in capital | 944,244 | 936,628 | ||||||
| Accumulated other comprehensive (loss) income | (67 | ) | 53 | |||||
| Accumulated deficit | (676,923 | ) | (661,039 | ) | ||||
| Total stockholders' equity | 267,295 | 275,683 | ||||||
| Total liabilities and stockholders' equity | $ | 303,993 | $ | 311,814 | ||||
Non-GAAP Financial Measures
To supplement our unaudited condensed consolidated financial statements presented under generally accepted accounting principles in the United States (“GAAP”), we believe certain non-GAAP measures, including adjusted net earnings (loss), and adjusted net earnings (loss) per share, basic and diluted, provide useful information to investors and are useful in evaluating our operating performance. For example, we exclude stock-based compensation expense because this expense is non-cash in nature and we believe excluding this item provides meaningful supplemental information regarding our operational performance and allows investors the ability to make more meaningful comparisons between our operating results and those of other companies.
We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly titled non-GAAP measures differently or may use other measures to evaluate their performance. A reconciliation is provided below for each non-GAAP financial measure to the most directly comparable financial measure stated in accordance with GAAP. Investors are encouraged to review the related GAAP financial measures and the reconciliation of these non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business.
Adjusted Net Earnings (Loss) and Adjusted Net Earnings (Loss) Per Share
Adjusted net earnings (loss) is a non-GAAP financial measure that we define as net earnings (loss) adjusted for stock-based compensation. We believe adjusted net earnings (loss) provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance.
Reconciliations of net earnings (loss) to adjusted net earnings (loss) and the presentation of adjusted net earnings (loss) per share, basic and diluted, are as follows:
| Three months ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| Common Stock | ||||||||
| Numerator: | ||||||||
| Net loss available to stockholders, basic and diluted | $ | (15,884 | ) | $ | (8,190 | ) | ||
| Add: | ||||||||
| Stock-based compensation | 7,945 | 7,140 | ||||||
| Adjusted net loss available to common stockholders, basic and diluted: | $ | (7,939 | ) | $ | (1,050 | ) | ||
| Denominator: | ||||||||
| Weighted-average shares outstanding, basic and diluted | 41,306,110 | 40,509,646 | ||||||
| Adjusted net loss per share, basic and diluted | $ | (0.19 | ) | $ | (0.03 | ) | ||
FAQ
What did RxSight (RXST) report for Q1 2026 revenue and unit sales?
Q1 2026 revenue was $30.9 million, with 27,472 LAL units and 20 LDDs sold. According to the company, the installed LDD base reached 1,154 units, and LAL procedures decreased 0.4% year over year.
How did RxSight (RXST) perform on profitability in Q1 2026?
RxSight reported a net loss of $15.9 million (−$0.38 per share) in Q1 2026. According to the company, adjusted net loss was $7.9 million (−$0.19 per share), reflecting higher operating investments.
What is RxSight's (RXST) 2026 revenue and margin guidance after Q1 results?
Guidance remains $120–$135 million in revenue with gross margin guidance of 70–72%. According to the company, operating expenses are expected at the high end of the prior $150–$160 million range.
How strong is RxSight's (RXST) cash position after Q1 2026?
Cash, cash equivalents and short-term investments totaled $217.9 million as of March 31, 2026. According to the company, this liquidity supports continued commercial expansion and targeted strategic investments.
Did RxSight (RXST) report any clinical or regulatory progress in Q1 2026?
Yes — clinical data and regulatory progress were reported; the company presented ASCRS data showing clinical accuracy and received regulatory approval in New Zealand. According to the company, these developments broaden international market opportunity.