The invention relates to a hand-held medical device for illumination, in particular for use in ophthalmology, comprising a housing used as a handle piece, a tube (1), which extends out of the housing and has an optical waveguide (2) running through it and a light outlet at the end of the tube, and a light source (3) integrated in the hand-held device, the hand-held medical device being characterized in that the light source (3) is an LED light source having a surface (4) that emits light and that the optical waveguide (2) directly adjoins the surface (4) that emits light.