An ophthalmic laser treatment apparatus comprises: a main unit a laser source a hand-held cabinet a laser delivery optical system for irradiating the laser beam in a predetermined irradiation pattern onto tissues of the patients eye, the laser delivery optical system including: a fiber unit connecting the hand-held cabinet to the main unit a scanner for deflecting an optical axis of the laser beam and an image forming optical system for forming an image of the laser beam in the form of a spot on the tissues of the patients eye an irradiation pattern setting unit for setting an irradiation pattern of the treatment laser beam a control unit for controlling drive of the scanner and a beam combiner provided in the hand-held cabinet to make an observation optical path and an optical path of the laser delivery optical system coincident with each other.
