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Einerseits entwickeln Patienten mit vorausgegangener Herpesinfektionen schneller eine Katarakt, wobei die Operation selbst mit einer erh\u00f6hten intraoperativen Komplikationsrate einhergeht. Zum anderen ist das Rezidivrisiko nach Kataraktoperation deutlich erh\u00f6ht (46\u202f% bei dem Herpes-simplex-Virus und bis zu 40\u202f% bei dem Herpes-zoster-Virus). Die Prognose ist bei einem Rezidiv deutlich schlechter, weswegen die Reduktion der Rezidivrate von hohem Interesse ist. Pr\u00e4operativ sollte auf Zeichen fr\u00fcherer Herpesinfektionen wie Hornhautnarben, Neovaskularisationen, Synechien und eine neurotrophe Keratopathie geachtet werden. Zu den Risikofaktoren f\u00fcr ein Rezidiv z\u00e4hlen die Dauer der Schubfreiheit, die Anzahl an fr\u00fcheren Sch\u00fcben, ein Tunnelschnitt von temporal, immunsuppressive Therapie, Diabetes mellitus und Atopie. Eine prophylaktische perioperative antivirale Therapie wird h\u00e4ufig eingesetzt, randomisierte Daten speziell f\u00fcr die Kataraktoperation fehlen jedoch, sodass die Empfehlung derzeit \u00fcberwiegend auf indirekter Evidenz und Expertenkonsens beruht.<\/jats:p>","DOI":"10.1007\/s00347-026-02411-1","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T13:11:40Z","timestamp":1773148300000},"page":"353-358","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rezidiv einer okul\u00e4ren Herpesinfektion nach Kataraktoperation: Risikofaktoren und Pr\u00e4vention","Recurrence of herpetic eye disease following cataract surgery: risk factors and prevention"],"prefix":"10.1007","volume":"123","author":[{"given":"Lars H. 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