An otoscopic tip element having an axisymmetric hollow body having a substantially conical shape and made from a moldable plastic material includes a distal opening, a proximal opening, an interior surface, and an exterior surface. To maximize light transmissivity, a distal portion of the interior surface is provided with a smooth or polished surface finish and a proximal portion of the interior surface and the outer surface is provided with a textured surface finish such that light from a light source of an otoscope can be axially directed through the hollow body for emission through the distal opening, as well circumferentially through the exterior surface. The surface finish and color/tint of the speculum tip element can be adjusted or tuned to promote axial, circumferential and total light output relative to an intended medical target.
