This study examines how the average presbyopic additions and eye refraction state of old ages in city may be different to that island. There were 677 of the old who were 50 or over 90 in the sample. The visual acuity test was done by objective and subjective methods and used for near-chart program. The far-point refraction state and power of the additions lens results were as follows ; 1. Of far-point refraction state in city peoples; male: emmetropia 10%, myopia 17%, hyperopia 19%, mixed astigmatism 38%, etc. 16% female : emmetropia 20%, myopia 20%, hyperopia 20%, mixed astigmatism 27%, etc. 13% 2. Of far-point refraction state in island villages ; male : emmetropia 13%, myopia 17%, hyperopia 22%, mixed astigmatism 40%, etc. 8% female : emmetropia 7%, myopia 13%, hyperopia 26%, mixed astigmatism 44%, etc. 10% 3. Average presbyopic additions states has been presented no discrimination ; male: 50 to 60 : +1.25 or +1.50D, 61 to 65 : +1.75 or + 2.00D, 66 to 70 : +2.25 or +2.50D 71 to 75 : +2.75 or +3.00D, 76 to 80 : +3.25 or +3.50D, over81 : +3.75D female : 50 to 60 : +1.25 or + 1.50D, 61 to 65 : +1.75 or + 2.00D, 66 to 70 : +2.25 or +2.50D 71 to 75 : +2.25 or + 2.50D, 76 to 80 : +2.75 or +3.00D, over81 : +2.75 or +3.00D 4. Under the condition of wearing lens, the average working time was 1 or 2 hour but some people used over 5 hours. 5. Generally, it has been investigated the old ages peoples has ocular diseases and cataract was the most common.