An ophthalmic laser treatment apparatus for treating an eye including: an irradiation unit including a laser source, and a scanner for scanning an irradiation spot from the laser source onto a tissue of the eye in two dimensions; a memory for storing a plurality of predetermined irradiation patterns in each of which a plurality of the irradiation spots are arranged in a predetermined arrangement; an irradiation pattern selecting unit including a switch for inputting a signal to select a pattern from the patterns stored in the memory; an pattern changing unit including a switch for inputting a signal to change part of the arrangement of the irradiation pattern in which irradiation spots are arranged on the basis of the selected irradiation pattern; and a control unit for controlling driving of the irradiation unit to sequentially irradiate the beam based on the irradiation pattern changed by the pattern changing unit.