Safety of ophthalmologic laser treatment is improved. A laser treatment apparatus of an embodiment includes: a photographing system that photographs an eye; an irradiation system that irradiates aiming light of a preset pattern and treatment laser light onto a fundus of the eye; an irradiation-pattern determining part that determines an irradiation pattern of the treatment laser light based on a photograph image of the eye acquired by the photographing system and the preset pattern; and a controller that controls the irradiation system so as to irradiate the treatment laser light of the determined irradiation pattern.