An ophthalmic laser treatment apparatus (1) for treating a patients eye (E) by irradiating a treatment laser beam thereto, comprises: an irradiation unit (40) including a treatment laser source (11), and a scanner (50) for scanning an irradiation spot of the treatment beam from the laser source onto a tissue of the patients eye in two dimensions a memory (71) for storing a plurality of predetermined irradiation patterns in each of which a plurality of the irradiation spots of the treatment beam are arranged in a predetermined arrangement an irradiation pattern selecting unit (80) including a selection switch (86a) for inputting a signal to select a desired irradiation pattern from the irradiation patterns stored in the memory an irradiation pattern changing unit (80) including a change switch (91, 101a, 101b, 102a, 102b) for inputting a signal to change a part of the arrangement of the irradiation pattern in which the irradiation spots are arranged on the basis of the selected irradiation pattern by the irradiation pattern selecting unit and a control unit (70) for controlling driving of the irradiation unit to sequentially irradiate the treatment beam based on the irradiation pattern changed by the irradiation pattern changing unit.
