The invention relates to an ophthalmological laser therapy system (100) having a device base (2) and a device head (1), which can be moved toward each other by means of a translational movement, and having a laser device that contains a laser source and a laser pivot arm (3) having a laser emission opening (8). The invention further relates to a corresponding laser therapy method. The problem addressed by the invention is that of describing solutions for working in the smallest space and without repositioning of the patient while nevertheless effectively protecting the sensitive laser therapy optics. This problem is solved by a laser pivot arm (3), which is pivot-mounted on the device head (2) about a horizontal first axis (4). In particular, said problem is solved in that the laser pivot arm (3) is enclosed by a pivot arm housing (6) that is separately pivot-mounted on the device head (2), coaxially to the laser pivot arm (3), and/or in that an examination pivot arm (14) having an examination device (15), which defines an examination volume, is pivot-mounted on the device head (2) about a second axis (16), wherein both axes (4, 16) are positioned relative to each other such that a working volume of a laser beam, when the laser pivot arm (3) is in a working position, is a partial volume of the examination volume, when the examination pivot arm (14) is in a working position.