Bausch + Lomb jumps after Q1 sales growth and raised 2026 guidance

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Bausch + Lomb shares are higher after the company reported Q1 2026 revenue of $1.244 billion and raised full-year 2026 revenue and adjusted EBITDA guidance. Management cited strong performance across Vision Care, Surgical, and Pharmaceuticals, with Pharmaceuticals boosted by MIEBO (+33%) and XIIDRA (+30%).

1. What’s moving BLCO today

Bausch + Lomb (BLCO) is trading higher as investors react to the company’s first-quarter 2026 results and a guidance raise issued on April 29, 2026. The company posted $1.244 billion in Q1 revenue and increased its full-year 2026 outlook for both revenue and adjusted EBITDA excluding acquired IPR&D, signaling stronger-than-expected operating momentum heading into the rest of the year. �citeturn0search0turn1search4

2. The key numbers investors are focusing on

In Q1 2026, total revenue rose 9% year over year (6% constant currency). Segment performance showed broad-based growth: Vision Care revenue was $711 million (+8% reported), Surgical was $228 million (+7% reported), and Pharmaceuticals was $305 million (+14% reported). Operating income improved to $33 million versus an operating loss a year earlier, while the GAAP net loss narrowed to $71 million and adjusted EPS was $0.05. �citeturn0search0

3. Guidance raised: why it matters

Bausch + Lomb lifted full-year 2026 revenue guidance to $5.420 billion–$5.520 billion (from $5.375 billion–$5.475 billion previously) and raised adjusted EBITDA excluding acquired IPR&D guidance to $1.010 billion–$1.060 billion (from $1.000 billion–$1.050 billion). The update implies management sees continued demand strength and incremental operating leverage after Q1 outperformance, rather than a one-quarter spike. �citeturn0search0turn1search4

4. What drove the upside in the quarter

Management highlighted growth across key brands and categories, including dry eye, premium intraocular lenses, and daily silicone hydrogel contact lenses. Pharmaceuticals growth was led by MIEBO (+33%) and XIIDRA (+30%), while the company also pointed to operational efficiencies and ongoing launches in the U.S. (including PreserVision AREDS3 and Blink Triple Care Preservative Free) as distribution builds. �citeturn0search0