Metabolic Response to General Anaesthesia versus local Analgesia in Diabetic patients Undergoing Cataract surgery

trauma wether accidental or surgical, induces a senous ofcirculatory, endocrine and immunological changes which are knownas the stress response. The stress response and hence the endocrine-metabol ic response to injury is modified by age, sex, nutritional status,physical training, superimposed infection and the cyclical changes ofeach individual hormone.Sixty patients scheduled for cataract surgery have been includedin this study. Twenty patients were not diabetic and served as thecontrol group, fourty patients were diabetic. They were not receivingany medication known to interfere with the hormonal and metabolicresponses to surgery.The diabetic patints were classified into two groups:1- Diabetic group under general anaesthesia and2- Diabetic group under local analgesia.The control non diabetic patients were classified into two groups:1- Control group under general anaesthesia.2- Control group under local analgesia.Each patient underwent preoperative evaluation and routineinvestigation, to exclude any other disease.