An ophthalmic laser treatment apparatus (1) includes: an aiming optical system (20) configured to irradiate an aiming beam to a patient's eye; a laser irradiation optical system (10) configured to irradiate a laser beam for treatment to the patient's eye; shift means (50) 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; selection receiving means (200) configured to receive an instruction to select any one of a plurality of treatment modes; and control means (60) configured to control operations of the ophthalmic laser treatment apparatus. The control means 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 means.