Organic el element, and image display device and lighting device each of which is provided with same

This organic EL element (10) is sequentially provided, on a substrate (11), with a positive electrode (first electrode) (12), an organic layer (13) which includes a light emitting layer that is formed of an organic EL material, and a negative electrode (metal layer, second electrode) (14). The positive electrode (12) is a transparent electrode that is formed of a transparent conductive material. The negative electrode (14) is formed of a conductive metal material and has a plurality of through hole portions (14A). This organic EL element (10) is configured such that light is mainly extracted from the positive electrode (12) side to the outside.