An ophthalmic laser treatment apparatus for treating a patient's eye by irradiating a treatment laser beam thereto, comprises: an irradiation unit including a treatment laser source, and a scanner for scanning an irradiation spot of the treatment beam from the laser source onto a tissue of the patient's eye in two dimensions; a memory 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 including a selection switch for inputting a signal to select a desired irradiation pattern from the irradiation patterns stored in the memory; an irradiation pattern changing unit including a change switch 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 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.