An ophthalmic laser treatment apparatus includes: an aiming optical system configured to irradiate an aiming beam to a patient's eye; a laser irradiation optical system configured to irradiate a laser beam for treatment to the patient's eye; a shift unit configured to make a shift of a focus shift position corresponding to a focus position of the laser beam to a posterior or anterior position with respect to a focus position of the aiming beam; a selection receiving unit configured to receive an instruction to select any one of a plurality of treatment modes; and a control unit configured to control operations of the ophthalmic laser treatment apparatus. The control unit sets a value of a parameter related to irradiation of the laser beam, the parameter including a parameter related to the shift of the focus shift position, according to the treatment mode selected with the selection receiving unit.