This document discusses a study examining the use of consistent preoperative marking and transitional conic cylinder intraocular lenses (IOLs) to improve results of astigmatism correction during cataract surgery. 79 eyes underwent cataract surgery with implantation of transitional conic surface IOLs. A preoperative topographic limbus marking was performed for alignment of the IOLs. Post-operative evaluation found the consistent marking and conic IOLs provided good results in correcting astigmatism and accurate IOL power calculation. The study concludes more effective preoperative marking and transitional conic IOLs can improve refractive outcomes of cataract surgery for astigmatism.