Abstract: A system/method allowing intraocular lens (IOL) fabrication using a femtosecond laser is disclosed. The system and method generate a stream of pulses at a rate of at least 1 million pulses per second and a pulse length of 300 femtoseconds or less to sculpt a polymeric material blank (PMB) to form an IOL. The high repetition rate and short pulse length combine to permit IOL fabrication in less than 10 minutes. During this fabrication procedure a lens may be formed within the IOL by incorporating a refractive index shaping (RIS) structure within the IOL. Additionally, IOL haptics may be formed during this IOL formation process. This combination of physical feature generation and RIS structure generation permits per-patient customization of the IOL as it relates to sphere, cylinder, asphericity, multifocality, and/or higher optical aberrations (HOAs).