A processor of an ophthalmologic image processing device acquires intermediate information from which an influence of a position shift with respect to a first direction at each position in a second direction is excluded, for each of a first ophthalmologic image and a second ophthalmologic image (S4). The processor performs alignment with respect to the second direction between the first ophthalmologic image and the second ophthalmologic image, based on the intermediate information (S5, S6). The processor performs alignment with respect to the first direction between pixels at the same position with respect to the second direction in the first ophthalmologic image and the second ophthalmologic image for which the alignment with respect to the second direction has been performed (S7).