A pixel structure and an organic light emitting display are disclosed. The pixel structure includes a plurality of pixels which includes a plurality of sub-pixels. At least one pixel forms a pixel unit, and longitudinally adjacent pixel units are arranged in a vertical mirror image, and/or laterally adjacent pixel units are arranged in a horizontal mirror image. The present disclosure may increase the area of mask opening during evaporation, reduce the difficulty of mask production process, and reduce the evaporation process difficulty by a reasonable pixel arrangement structure and allowing sub-pixels of adjacent pixels to share one mask opening to evaporate. It does not need to preset a gap during evaporating the sub-pixels of adjacent pixels of the mask, thereby a real high PPI is achieved while keeping the opening ratio. In addition, the present disclosure can further increase the strength of the mask.