Systems and methods for treating presbyopia are provided. In one embodiment, a system for photorefractive treatment of presbyopia includes a laser source configured for ablating corneal tissue and a control system in communication with the laser source and configured to control the laser source to ablate conical tissue of a patient to achieve a desired corneal shape. In some instances, the control system controls the laser source by calculating a global optimum regarding curvature and asphericity of the cornea. In some instances, control system controls the laser source by calculating a central steep island and calculating a curvature and asphericity for the rest of the cornea. In some embodiments, a laser source is controlled to ablate the cornea of the patient in accordance with a calculated shape profile to achieve a desired corneal shape.