According to the speckle feature in Optical coherence tomography (OCT), images with speckle indicate not only noise but also signals, an improved wavelet hierarchical threshold¯lter (IWHTF) method is proposed. At¯rst, a modi¯ed hierarchical threshold-selected algorithm is used to prevent signals from being removed by assessing suitable thresholds for di®erent noise levels. Then, an improved wavelet threshold function based on two traditional threshold functions is proposed to trade-o® between speckle removing and sharpness degradation. The de-noising results of an OCT¯nger skin image shows that the IWHTF method obtains better objective evaluation metrics and visual image quality improvement. When ¼ 0:2, ¼ 5:0 and K ¼ 1:2, the improved method can achieve 9.58 dB improvement in signal-to-noise ratio, with sharpness degraded by 3.81%.