Presbyopia is called Also eye old or vision old that is condition Where ray come parallel No can refracted appropriate on the retina, but No on One focus point , can in front of or behind the retina. Hypermetropia known Also with nearsighted near , where ray parallel refracted behind the retina, as a result object that is located Far from the eyeball No will looks clear in vision sufferer . Concept base For to overcome presbyopia sufferers with refractive status hypermetropia is with give glasses For tool help his vision . Purpose study This is For know method determine size glasses on presbyopia sufferers with refractive status hypermetropia in optics Agus . Type study This is studies case with approach descriptive . Population in study This is overall sufferer abnormality refraction visiting​ to optic Agus on 01-29 February 2024 . The method of data collection used is interview And observation . Total sufferers abnormality refraction visiting​ to optics Agus as many as 66 patients with details of 5 patients emmetropia , 27 patients with myopia refraction status , 28 patients with refraction status hypermetropia and 6 people with refractive status astigmatism . And in study This obtained case vision Far And near run away , after corrected Then given S+1.00 lens ADD +200 for eye right And left . Based on results study This can concluded on presbyopia sufferers with hypermetropia status can handled with use bifocal or multifocal glasses .