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Raja Narayanan, M.B.B.S., M.B.A.

Raja Narayanan, M.B.B.S., M.B.A.

Flaum Eye Institute , Surgery

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Contact

Appointment (585) 273-3937

About Me

Raja Narayanan, MBBS, MS, MBA, is Chief of the Flaum Eye Institute’s Retina Service. He brings more than 20 years of experience in clinical and surgical retina care, with a special interest in diseases of the macula—the central part of the retina responsible for most of our visual perception. He is ...
Raja Narayanan, MBBS, MS, MBA, is Chief of the Flaum Eye Institute’s Retina Service. He brings more than 20 years of experience in clinical and surgical retina care, with a special interest in diseases of the macula—the central part of the retina responsible for most of our visual perception. He is also a leading clinical researcher, focused on developing new treatments to preserve or restore vision.

He received his medical training at Maulana Azad Medical College, Delhi University, where he also completed a residency and senior residency in ophthalmology at Guru Nanak Eye Centre. He went on to complete a retina fellowship at the University of California, Irvine, where he also taught ophthalmology residents as a clinical instructor. He was a visiting scholar at Harvard University in ocular immunology and uveitis, and was adjunct faculty at Case Western Reserve University in Cleveland, Ohio.


He later returned to India to join the LV Prasad Eye Institute, where he rose through the ranks to become Director of the Anant Bajaj Retina Institute and Director of Human Resources, overseeing nearly 2,800 clinicians, researchers, and staff. He also led LV Prasad’s clinical research operations and held an adjunct faculty appointment at the University of Rochester during this time.

An expert clinician, Dr. Narayanan has performed more than 10,000 retinal surgeries, including endoscopic vitrectomies, and numerous additional innovative procedures such as autologous retinal transplant and subretinal surgeries. He is actively involved in clinical trials exploring sight-restoring stem cell therapies for patients with age-related macular degeneration.

Dr. Narayanan treats the following conditions and performs the following procedures:

Age related macular degeneration

Diabetic retinopathy

Eye trauma

Retinal vein occulsions

Epiretinal membranes

Retinal tears

Retinal detachments

Retinal transplantion

Intravitreal injections

Stem cell therapy

Retinal detachment surgeries

Endoscopic retinal surgeries

Lasers

Cryotherapy

Vitrectomy

Scleral buckling surgeries

Retinal implants

Faculty Appointments

Professor - Department of Ophthalmology (SMD)

Credentials

Residency & Fellowship

Fellowship, Retina and Vitreous Surgery, University Of California Irvine School Of Medicine (USA). 2003 - 2006

Fellowship, Retina and Vitreous Surgery, Sankara Nethralaya. 2002 - 2003

Fellowship, Ophthalmology, Sankara Nethralaya. 2001 - 2001

Residency, Ophthalmology, Maulana Azad Medical College & Associated Hospitals. (India). 2001 - 2022

Residency, Ophthalmology, Maulana Azad Medical College & Associated Hospitals. (India). 1998 - 2001

Education

MBBCH | Maulana Azad Medical College (India). 1998

Publications

Journal Articles

"Real world outcomes of intravitreal brolucizumab for persistent diabetic macular edema".

Hansraj S, Narula R, Raval VR, Narayanan R, Tyagi M

International journal of retina and vitreous.. 2025 September 3011 (1):101. Epub 09/30/2025.

Factors determining compliance with recommended intravitreal injections for retinal diseases among out-of-pocket, fully subsidized (non-paying), and insured patients: Real-world evidence from India.

Das AV, Kashyap B, Takkar B, Venugopal R, Chatterjee C, Mehta MC, Stewart MW, Murthy GVS, Khanna RC, Das T, Narayanan R

Indian journal of ophthalmology.. 2025 September 19 Epub 09/19/2025.

Financial vulnerability of the elderly population undergoing cataract surgery within a distributed eye care delivery system in India (2011-2022): a multicentre, retrospective cohort study.

Takkar B, Venugopal R, Mehta M, Das AV, Rathi V, Khanna R, Murthy GVS, Vaishnav HK, Kashyap B, Chatterjee C, Narayanan R

The Lancet regional health. Southeast Asia.. 2025 August 39 :100640. Epub 07/23/2025.

Tapetal-like reflex in X-linked RPGR-associated retinopathy.

Padhy SK, Takkar B, Mukherjee S, Narayanan R

Ophthalmic genetics.. 2025 June 29 :1-6. Epub 06/29/2025.

A Pilot Randomized Controlled Trial Evaluating Hemostasis With Fibrin Glue During Surgery for Proliferative Diabetic Retinopathy.

Takkar B, Ketkar MR, Narula R, Tyagi M, Dave VP, Narayanan R

American journal of ophthalmology.. 2025 April 272 :117-125. Epub 01/28/2025.

Protocol for a Randomized Controlled Trial Comparing Intravitreal Brolucizumab with Placebo for Chronic Central Serous Chorioretinopathy with Persistent Macular Fluid Without Choroidal Neovascular Membrane - BRICS Report #1.

Ramamurthy SR, Hansraj S, Narula R, Sadda SR, Sivaprasad S, Chhablani JK, Tyagi M, Gurram Reddy N, Behera UC, Narayanan R

Seminars in ophthalmology.. 2025 March 28 :1-7. Epub 03/28/2025.

Cognitive Level Enhancement through Vision Exams and Refraction (CLEVER): study protocol for a randomised controlled trial.

Marmamula S, Alladi S, Umapathy K, Chan VF, MacKenzie G, Lohfeld L, Mettla AL, Rayasam S, Gothwal VK, Narayanan R, Pyda G, Chadalavada HP, Thomas P, Sigwadhi LN, Azuara-Blanco A, McDowell C, McMullan S, Murphy L, Clarke M, Ehrlich JR, Sweenor B, O'Neill C, Komaravolu S, Maulik PK, Murthy GVS, Kumar K, Nyshadham A, Adhvaryu A, McCabe C, Bloom DE, Lee J, Lin F, Coghlan S, Khanna RC, Congdon N

Trials.. 2025 March 2826 (1):109. Epub 03/28/2025.

Retinal graft dislocation managed by repeat autologous retinal transplant for refractory macular hole.

Hansraj S, Narayanan R

BMJ case reports.. 2025 January 2718 (1)Epub 01/27/2025.

Efficacy of dexamethasone implant in the management of chronic central serous chorioretinopathy without choroidal neovascularization.

Behera UC, Brar AS, Kelgaonkar A, Sahoo J, Narayanan R, Sadda SR

Indian journal of ophthalmology.. 2025 January 173 (Suppl 1):S100-S106. Epub 07/11/2024.

Profile and outcomes of retinal artery occlusion: The underrealized need to expedite presentation.

Kadam Y, Das AV, Narayanan R, Balakrishnan N, Telukunta P, Takkar B

Indian journal of ophthalmology.. 2025 January 173 (Suppl 1):S72-S77. Epub 12/24/2024.

Surgeon's perceptions and preferences in the management of idiopathic macular hole.

Kumawat D, Dave VP, Venkatesh P, Shanmugam MP, Nagpal M, Gupta V, Bhende PS, Babu N, Narayanan R, Shroff D

Indian journal of ophthalmology.. 2025 January 173 (Suppl 1):S83-S87. Epub 12/24/2024.

Macular neovascularization.

Sheth JU, Stewart MW, Narayanan R, Anantharaman G, Chandran K, Lai TYY, Chakravarthy U, Das T

Survey of ophthalmology.. 2025 70 (4):653-675. Epub 08/31/2024.

Diabetic macular oedema (DMO): an introduction.

Raman R, Narayanan R

Community eye health. 2025 37 (125):9-10. Epub 01/31/2025.

Working with patients affected by macular eye conditions.

Narayanan R

Community eye health. 2025 37 (125):26. Epub 01/31/2025.

SMART (artificial intelligence enabled) DROP (diabetic retinopathy outcomes and pathways): Study protocol for diabetic retinopathy management.

Rani PK, Kalavalapalli D, Narayanan R, Kalavalapalli S, Narula R, Sahay RK, Deo S

PloS one.. 2025 20 (5):e0324382. Epub 05/19/2025.

Pars plana vitrectomy with tissue plasminogen activator for traumatic submacular hemorrhage.

Wang WX, Patel KG, Getahun H, Ramamurthy S, Chen H, Narayanan R, Apte RS

International journal of ophthalmology.. 2025 18 (9):1797-1802. Epub 09/18/2025.

Optic Disc Drusen and Familial Exudative Vitreoretinopathy Phenotype: A Multimodal Imaging Perspective on a Rare Association.

Padhy SK, Chavan K, Mandal S, Jalali S, Narayanan R

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society.. 2024 December 18 Epub 12/18/2024.

STABLE trial of spectacle provision and driving safety among myopic motorcycle users in Vietnam: study protocol for a stepped-wedge, cluster randomised trial.

Le VC, To KG, Le VD, Nguyen L, MacKenzie G, Sigwadhi LN, Piyasena P, Tran M, Chan VF, Khanna RC, Clarke M, Lohfeld L, Dickey H, Azuara-Blanco A, Mettla AL, Rayasam S, Doan HTN, Van Do D, Le PH, Klauer C, Hanowski R, Bowden Z, Murphy L, Thompson J, McMullan S, McDowell C, Narayanan R, Little JA, Ha HT, Yoon S, Goel R, Luong L, Nguyen X, Congdon N

Trials.. 2024 December 1825 (1):825. Epub 12/18/2024.

Intravitreal Brolucizumab for Chronic Central Serous Chorioretinopathy without Choroidal Neovascular Membrane - a Pilot Study.

Ramamurthy SR, Behera UC, Narula R, Sadda SR, Narayanan R

Seminars in ophthalmology.. 2024 November 39 (8):615-622. Epub 01/25/2024.

Brolucizumab-associated intraocular inflammation in Indian patients by VRSI study group.

Agarwal M, Muralidhar A, Shanmugam MP, Kothari A, Dudani A, Maiti A, Arora A, Jayadev C, Gupta C, Shroff D, Chakraborty D, Pillai GS, Lahiri K, Verma L, Gopalakrishnan M, Narayanan R, Mishra SK, Patil S, Choudhary S, Chakraborty S, Natesh S, Koundanya V, Aggarwal V

Indian journal of ophthalmology.. 2024 August 172 (8):1156-1161. Epub 07/29/2024.

Inner Choroidal Fibrosis: An Optical Coherence Tomography Biomarker of Severity in Chronic Central Serous Chorioretinopathy.

Hansraj S, Chhablani J, Behera UC, Narula R, Narayanan R, Sahoo NK

American journal of ophthalmology.. 2024 August 264 :17-24. Epub 02/28/2024.

Tear Protein Markers for Diabetic Retinopathy and Diabetic Macular Edema - Towards an Early Diagnosis and Better Prognosis.

Sharma S, Belenje A, Takkar B, Narula R, Rathi VM, Tyagi M, Rani PK, Narayanan R, Kaur I

Seminars in ophthalmology.. 2024 August 39 (6):440-450. Epub 04/20/2024.

Health transition and eye care policy planning for people with diabetic retinopathy in south Asia.

Das T, Islam K, Dorji P, Narayanan R, Rani PK, Takkar B, Thapa R, Moin M, Piyasena PN, Sivaprasad S

The Lancet regional health. Southeast Asia.. 2024 August 27 :100435. Epub 06/11/2024.

Hemi-retinal vein occlusion: Characterizing a rare retinal vasculopathy.

Kadam Y, Thaku P, Das AV, Narayanan R, Senthil S, Takkar B

Indian journal of ophthalmology.. 2024 June 172 (6):890-895. Epub 01/08/2024.

A novel technique for extensive submacular hemorrhage using high-dose tissue plasminogen activator.

Chauhan K, Narayanan R

Indian journal of ophthalmology.. 2024 June 172 (6):921. Epub 05/24/2024.

Cross-sectional study of prevalence, causes and trends in visual impairment in Nirmal District, Telangana, India: Nirmal Eye Evaluation for Trends study.

Marmamula S, Chinya A, Yelagondula VK, Varada R, Khanna RC, Narayanan R

BMJ open.. 2024 May 3014 (5):e083199. Epub 05/30/2024.

Giant Cell Arteritis With Bilateral Central Retinal Artery Occlusion and Tongue Necrosis.

Brar AS, Nanda R, Narayanan R, Padhy SK

Cure?us.. 2024 May 16 (5):e59554. Epub 05/02/2024.

Retinal detachment.

Lin JB, Narayanan R, Philippakis E, Yonekawa Y, Apte RS

Nature reviews. Disease primers.. 2024 March 1410 (1):18. Epub 03/14/2024.

Macular Pigment Assessment in Indian Population Using Degree of Polarization Threshold: Impact of Diet on Macular Pigment Density.

Sangani P, Temple S, Bhandary S, Narayanan R, Johnson E, Das AV, Ali MH, Takkar B

Translational vision science & technology.. 2024 March 113 (3):20. Epub 1900 01 01.

Real-world experience of full-thickness traumatic macular hole among young patients.

Venugopal R, Das AV, Takkar B, Stewart MW, Narayanan R

International journal of retina and vitreous.. 2024 February 2110 (1):20. Epub 02/21/2024.

Characterization of retinal hemorrhages delimited by the internal limiting membrane.

Brar AS, Ramachandran S, Takkar B, Narayanan R, Mandal S, Padhy SK

Indian journal of ophthalmology.. 2024 January 172 (Suppl 1):S3-S10. Epub 12/22/2023.

Clinical Profile, Demographic Distribution and Risk Factors of Parafoveal Telangiectasia: An Electronic Medical Record-Driven Big Data Analytics from a Multitier Eye Care Network.

Venugopal R, Das AV, Takkar B, Narayanan R

Seminars in ophthalmology.. 2024 January 39 (1):102-108. Epub 08/23/2023.

Gene Therapy for Inherited Retinal Diseases: From Laboratory Bench to Patient Bedside and Beyond.

Brar AS, Parameswarappa DC, Takkar B, Narayanan R, Jalali S, Mandal S, Fujinami K, Padhy SK

Ophthalmology and therapy.. 2024 January 13 (1):21-50. Epub 12/19/2023.

Prevalence of age-related macular degeneration and associated factors in Indian cohort in a tertiary care setting.

Hamati J, Prashanthi S, Narayanan R, Sahoo N, Das AV, Rani PK, Behera UC, Khanna R, Murthy GVS

Indian journal of ophthalmology.. 2023 October 71 (10):3361-3366. Epub 1900 01 01.

Clinical profile and demographic distribution of Stargardt disease phenotypes: An Electronic medical record-driven big data analytics from a multitier eye care network.

Das AV, Venugopal R, Takkar B, Sharma S, Balakrishnan N, Narayanan R, Parameswarappa D, Padhy SK

Indian journal of ophthalmology.. 2023 October 71 (10):3407-3411. Epub 1900 01 01.

Baseline demographic, clinical and multimodal imaging features of young patients with type 2 macular telangiectasia.

Reddy NG, Prabhu V, Sharma SV, Acharya I, Mangla R, Yadav NK, Chhablani J, Narayanan R, Venkatesh R

International journal of retina and vitreous.. 2023 August 99 (1):47. Epub 08/09/2023.

Medical Therapy for Large Idiopathic Full-Thickness Macular Holes.

Sheng Y, Jain M, Sahoo N, Reddy N, Tyagi M, Narula R, Stewart MW, Narayanan R

Retinal cases & brief reports.. 2023 June 19 Epub 06/19/2023.

Novel En Face OCT-Based Closure Patterns in Idiopathic Macular Holes.

Sahoo NK, Suresh A, Patil A, Ong J, Kazi E, Tyagi M, Narayanan R, Nayak S, Jacob N, Venkatesh R, Chhablani J

Ophthalmology. Retina.. 2023 June 7 (6):503-508. Epub 12/27/2022.

GIANT RETINAL TEAR DETACHMENT: Clinical Presentation and Treatment Outcomes in 396 Patients.

Ramamurthy S, Raval V, Ali H, Tyagi M, Narayanan R, Reddy R, Das AV

Retina.. 2023 May 143 (5):784-792. Epub 1900 01 01.

Retinal Pigment Epithelial Characteristics in Acute and Resolved Vogt-Koyanagi-Harada Disease.

Jacob N, Tyagi M, Chhablani J, Narayanan R, Kelgaonkar A, Jain M, Singh SR, Sahoo NK

Journal of clinical medicine.. 2023 March 1912 (6)Epub 03/19/2023.

Emerging Treatment Options for Geographic Atrophy (GA) Secondary to Age-Related Macular Degeneration.

Khan H, Aziz AA, Sulahria H, Khan H, Ahmed A, Choudhry N, Narayanan R, Danzig C, Khanani AM

Clinical ophthalmology.. 2023 17 :321-327. Epub 01/23/2023.

Internal limiting membrane detachment in acute Central Retinal Artery Occlusion: clinical features, multimodal imaging, outcomes & prognostic biomarker.

Jain M, Narayanan R, Barik B, Sahoo NK, Raval V, Reddy NG

International journal of retina and vitreous.. 2022 December 288 (1):86. Epub 12/28/2022.

Recommendations for management of peripheral retinal degenerations.

Venkatesh R, Sharief S, Thadani A, Ratra D, Mohan S, Narayanan R, Narula R, Asad Y, Roy R, Jayadev C, Yadav NK

Indian journal of ophthalmology.. 2022 October 70 (10):3681-3686. Epub 1900 01 01.

Retinal Manifestations of COVID-19.

Sheth J, Nayak S, Narayanan R, Hariprasad S

Ophthalmic surgery, lasers & imaging retina.. 2022 May 53 (5):246-248. Epub 05/01/2022.

Dexamethasone implant improves anatomic response to anti-VEGF therapy in treatment-resistant polypoidal choroidal vasculopathy.

Mallikarjun K, Narayanan R, Raman R, Mohamed A, Shanmugam MP, Apte RS, Padhy SK

International ophthalmology.. 2022 April 42 (4):1263-1272. Epub 11/09/2021.

Decade-long impact factors in ophthalmology journals and the effect of journal characteristics: a longitudinal study.

Nandyala S, Mohamed A, Chaurasia S, Narayanan R

Arquivos brasileiros de oftalmologia.. 2022 85 (2):V-VIII. Epub 02/19/2022.

Incidence, predictors and re-treatment outcomes of recurrent myopic choroidal neo-vascularization.

Jain M, Narayanan R, Jana P, Mohamed A, Raman R, Verkicharla P, Padhy SK, Das AV, Chhablani J

PloS one.. 2022 17 (7):e0271342. Epub 07/21/2022.

Macular Telangiectasia Type 2: A Comprehensive Review.

Kedarisetti KC, Narayanan R, Stewart MW, Reddy Gurram N, Khanani AM

Clinical ophthalmology.. 2022 16 :3297-3309. Epub 10/10/2022.

Sight-threatening intraocular infection in patients with COVID-19 in India.

Nayak S, Das T, Parameswarappa D, Sharma S, Jakati S, Jalali S, Narayanan R, Basu S, Tyagi M, Dave VP, Pappuru RR, Pathengay A, Kaza H, Rani PK, Behera S, Sahoo NK, Kapoor A, Agrawal H, Agarwal K, Takkar B, Raval VR

Indian journal of ophthalmology.. 2021 December 69 (12):3664-3676. Epub 1900 01 01.

Diabetic retinopathy in pregnancy - A review.

Chandrasekaran PR, Madanagopalan VG, Narayanan R

Indian journal of ophthalmology.. 2021 November 69 (11):3015-3025. Epub 1900 01 01.

The All India Ophthalmological Society - Academic and Research Committee pan-India diabetic retinopathy project "Fixing the missing link": Prevalence data from West Bengal.

Biswas P, Batra S, Majji AB, Natarajan S, Sachdev M, Verma L, Sharma N, Honavar SG, Sinha S, Porwal AC, Prasad RK, Bawankule P, Saxena R, Narayanan R, Raman R, Nag S, Ghosh P

Indian journal of ophthalmology.. 2021 November 69 (11):3103-3109. Epub 1900 01 01.

Clinical profile and magnitude of diabetic retinopathy: An electronic medical record-driven big data analytics from an eye care network in India.

Das AV, Prashanthi GS, Das T, Narayanan R, Rani PK

Indian journal of ophthalmology.. 2021 November 69 (11):3110-3117. Epub 1900 01 01.

Factors protecting against diabetic retinopathy in a geriatric Indian cohort.

Hamati JN, Das AV, Prashanthi GS, Behera UC, Narayanan R, Rani PK

Indian journal of ophthalmology.. 2021 November 69 (11):3167-3172. Epub 1900 01 01.

Impact of age-related macular degeneration on diabetic retinopathy: An electronic health record based big data analysis from a tertiary eye centre in South India.

Sahoo NK, Mehta MC, Rani PK, Khanna RC, Raman R, Bhattacharya J, Das AV, Murthy GVS, Narayanan R

Indian journal of ophthalmology.. 2021 November 69 (11):3184-3188. Epub 1900 01 01.

A Delphi method based consensus statement for surgical management of proliferative diabetic retinopathy in India.

Sengupta S, Sindal MD, Shanmugam PM, Bhende P, Ratra D, Nagpal M, Narayanan R, Rajendran A, Saravanan V, Kelkar A, Maiti A, Chakraborty D, Dogra M, Behera S

Indian journal of ophthalmology.. 2021 November 69 (11):3308-3318. Epub 1900 01 01.

Effect of COVID-19 Pandemic on Presentation of Patients With Diabetic Retinopathy in a Multitier Ophthalmology Network in India.

Das AV, Narayanan R, Rani PK

Cure?us.. 2021 October 13 (10):e19148. Epub 10/30/2021.

Commentary: Prophylactic laser barrage before laser-assisted keratomileusis.

Narayanan R, Chandra KK

Indian journal of ophthalmology.. 2021 July 69 (7):1861. Epub 1900 01 01.

Acute Retinal Necrosis as a presenting ophthalmic manifestation in COVID 19 recovered patients.

Soni A, Narayanan R, Tyagi M, Belenje A, Basu S

Ocular immunology and inflammation.. 2021 May 1929 (4):722-725. Epub 07/06/2021.

Toxic Posterior Segment Syndrome Presenting as Occlusive Retinal Vasculitis following Vitreoretinal Surgery.

Sahoo NK, Behera S, Narayanan R, Chhablani J

Journal of current ophthalmology.. 2021 33 (3):345-348. Epub 10/22/2021.

One year outcomes of eyes with polypoidal choroidal vasculopathy with ?20/40 visual acuity treated with anti-vascular endothelial growth factor agents.

Singh SR, Goud NR, Goud A, Sahoo NK, Narayanan R, Chhablani J

Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society.. 2021 35 (2):84-87. Epub 02/18/2022.

A tale of two drugs: Off and on-label.

Narayanan R, Honavar SG

Indian journal of ophthalmology.. 2017 July 65 (7):549-550. Epub 1900 01 01.

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