PROBLEM TO BE SOLVED: To provide an image processing device, an image processing method, and an image processing program for supporting a user in effectively performing follow-up, etc. of a disease based on polarization information acquired from a polarization OCT.SOLUTION: An image processing device includes: tomographic image acquisition means for acquiring a plurality of tomographic luminance images acquired by taking images of a subject at different time points, and a plurality of polarization tomographic images corresponding to the plurality of tomographic luminance images and positioning means for positioning the acquired plurality of polarization tomographic images using position deviation information on the acquired plurality of tomographic luminance images.SELECTED DRAWING: Figure 3COPYRIGHT: (C)2018,JPO&INPIT