One described aspect is an optical fiber comprising: a fiber core that extends along a fiber axis, is configured to transmit a laser energy along the fiber axis, and terminates at a distal end with an angled distal face; a jacket that surrounds a proximal portion of the fiber core along the fiber axis, and terminates at a distal end located proximal of the angled distal face; a fiber tip including a proximal end with an angled distal face; and a reflector including a proximal face attached to the angled distal face of the fiber core, a distal face attached to the angled proximal face of the fiber tip, and at least one layer configured to direct the laser energy out of the fiber core along a laser axis generally transverse with the fiber axis, wherein the optical fiber tapers along the fiber axis. Associated laser systems are also disclosed.