The invention discloses a method and a device for implementing linear high-definition scanning follow-up. The method comprises: determining a first central point position (x1, y1) of a high-definition scanning line, a scanning angle (a1), and first linear scanning laser fundus images; the high-definition scanning line scanning a fundus by the (x1, y1) and the scanning angle, to obtain a plurality of second linear scanning laser fundus images, matching the second linear scanning laser fundus images with the first linear scanning laser fundus images in a one-to-one manner, to obtain a plurality of groups of offset displacements, and counting a first displacement ([delta]xn, [delta]yn) from the offset displacements; performing registration on the first linear scanning laser fundus image and a third linear scanning laser fundus image, according to registration result, resetting the center point position of the high-definition scanning line; and the high-definition scanning line scanning the fundus, a computer collecting a plurality of funcus OCT images, so as to complete linear follow-up. The method and the device reduce hardware requirement on the computer. Under the condition that an OCT system cannot provide a hardware system which can change scanning positions in real time, in different time, the device and the method can realize accurate scanning on the same position of a human eye as well, and cost is saved.