An enhanced light fixture containing a volumetric, anisotropic diffuser to control the spatial luminance uniformity and angular spread of light from the light fixture is disclosed. The anisotropic diffuser provides increased spatial luminance uniformity and efficient control over the illuminance such that power reductions, reduced cost or reduced size may be achieved. The anisotropic diffuser contains one or more regions of asymmetrically shaped light scattering particles. The spread of illumination of light from a light emitting source can be efficiently controlled by using a thin, low cost, volumetric, asymmetric diffuser to direct the light in the desired direction. This allows the reduction in number of light sources, a reduction in power requirements, or a more tailored illumination. When the anisotropic diffuser is used in combination with a waveguide to extract light, the light is efficiently coupled out of the waveguide in a thin, planar surface. This transmissive diffuser can be coupled to a reflecting element such that the resulting combination is a light reflecting element with a desired asymmetric light scattering profile.