The present work deals with the development and application of an acoustic long-period fiber grating (LPG) in conjunction with a special optical fiber (SF). The acoustic LPG converts selected optical modes of the SF. Some of these modes are characterized by complex, yet cylindrically symmetric polarization and intensity patterns. Therefore, they are the guided variant of so called cylindrical vector beams (CVBs). CVBs find applications in numerous fields of fundamental and applied optics. Here, an application to high-resolution light microscopy is demonstrated. The field distribution in the tight microscope focus is controlled by the LPG, which in turn creates the necessary polarization and intensity distribution for the microscope illumination. A gold nanoparticle of 30 nm diameter is used to probe the focal field with sub-wavelength resolution.rnrnThe construction and test of the acoustic LPG are discussed in detail. A key component is the piezoelectric transducer that excites flexural acoustic waves in the SF, which are the origin of an optical mode conversion. A mode conversion efficiency of 85% was realized at 785 nm optical wavelength. The efficiency is, at present, mainly limited by the spectral positions and widths of the transducer’s acoustic resonances.rnrnThe SF used with the LPG separates the propagation constants of the second-order polarization modes, so they can be individually excited and are less sensitive to distortions than in standard weakly-guiding fibers. The influence of geometrical parameters of the fiber core on the propagation constant separation and on the mode fields is studied numerically using the multiple multipole method. From the simulations, a simple mode coupling scheme is developed that provides a qualitative understanding of the experimental results achieved with the LPG. The refractive index profile of the fiber core was originally developed by Ramachandran et al. However, an important step of the present work is to reduce the SF’s core size to counteract the the appearance of higher-order modes at shorter wavelengths which would otherwise spoil the mode purity.rnrnUsing the acoustic LPG in combination with the SF produces a versatile device to generate CVBs and other phase structures beams. This fiber-optical method offers beam profiles of high quality and achieves good directional stability of the emitted beam. Moreover, the device design is simple and can be realized at low cost. Future developments of the acoustic LPG will aim at applications to fiber-optical sensors and optical near-field microscopy.