An eyepiece waveguide for an augmented reality display system. The eyepiece waveguide can include an input coupling grating (ICG) region. The ICG region can couple an input beam into the substrate of the eyepiece waveguide as a guided beam. A first combined pupil expander-extractor (CPE) grating region can be formed on or in a surface of the substrate. The first CPE grating region can receive the guided beam, create a first plurality of diffracted beams at a plurality of distributed locations, and out-couple a first plurality of output beams. The eyepiece waveguide can also include a second CPE grating region formed on or in the opposite surface of the substrate. The second CPE grating region can receive the guided beam, create a second plurality of diffracted beams at a plurality of distributed locations, and out-couple a second plurality of output beams.