A method for performing laser myringotomy without the need for anesthesia, using a focusable imaging laser otoscope including a housing, a speculum movable with respect to the housing, an illuminating system attached to the housing for illuminating a target area, a surgical laser source and an aiming laser source connected to the housing, an optical system and an imaging device attached to the housing for imaging the target area, said otoscope being connected to a display connected to the imaging device, the method comprising the steps of:
- inserting said speculum into the opening of an ear;
- displaying an image indicative of said target area on said display;
- focusing said image of said target area on said display by moving said speculum relative to said housing;
- directing an aiming laser beam produced by said aiming laser source towards a desired portion of said target area suitable for performing laser surgery, to form an illuminated aiming spot on said desired portion, said spot being visible within said image displayed on said display;
- adjusting the position of said spot on said desired portion of said target area by suitably moving said otoscope within said ear;
- and
- firing a surgical laser beam produced by said surgical laser source towards said desired portion of said target area.