An ophthalmic surgical microscope of an embodiment includes an objective lens, illumination system, observation system, OCT system, and optical-path connecting member. The illumination system includes a diaphragm irradiated with light from an illumination light source and a lens unit including one or more lenses that make the light having passed through the diaphragm into a parallel light flux, and irradiates the light having passed through the lens unit to an eye through the objective lens. The observation system is configured for observing the eye being irradiated by the illumination system through the objective lens. The OCT system is configured for examining the eye by OCT through the objective lens. The optical-path connecting member is located between the diaphragm and the lens unit or between the lens unit and the objective lens to connect the optical path of the OCT system to that of the illumination system.