An ophthalmic illumination system can include an optical fiber configured to transmit a light beam output by a light source and focused by a condenser. The optical fiber can includeproximal, distal, and central portions. The proximal portion can be configured to receive the light beam focused by the condenser. The distal portion can be configured to emit the light beam to illuminate a surgical field. The central portion can extend between the proximal and distal portions. A core diameter of the proximal portion can be larger than core diameters of the central and distal portions. An ophthalmic illumination method can include focusing, using a condenser, a light beam emitted by a light source onto a proximal portion of an optical fiber. The method can also include transmitting, using the optical fiber, the light beam to a surgical field.