An ophthalmic laser treatment apparatus comprises: an observation optical system； first and second irradiation optical systems to irradiate first and second laser lights for treatment toward a patient's eye； and first and second guide optical systems to irradiate first and second guide lights toward the eye. The second irradiation optical system displaces a condensing position of the second laser light to either one of a position far from of a reference plane on which the observation optical system is focused and a position short of the reference plane, so that a spot size of the second laser light on the reference plane is increased to a larger size than a spot size of the first laser light on the reference plane. The first and second guide optical systems respectively condense the first and second guide lights on the reference plane.
