This patient was referred for the management of mild keratoconus detected during a recent refractive surgery suitability assessment for low myopia. Scheimpflug corneal topography revealed the presence of bilateral inferior steepening, more pronounced in the right eye. This patient admitted to rubbing his eyes frequently with his right hand, massaging vigorously in a horizontal motion. He would do so particularly when tired, in the mornings, and under the shower. The presence of a “ red zone ” located in the inferior part of the curvature map should not be interpreted as bulging or ectasia. There is no protrusion here, as demonstrated by the raw image of the vertical slice taken by the Scheimpflug camera. On the contrary, this is more indicative of warpage of the corneal wall, caused by repeated trauma inflicted by the particular rubbing technique. The corneal central zone is flattened (larger radius of curvature, lower keratometry) to compensate for the inferior third of the corneal surface which is concomitantly steepened (shorter radius of curvature, higher keratometry). There is no stretching or corneal tissue distension. At this stage, there is no marked corneal thinning. When this particular technique of rubbing is employed, the cornea rubbed by the thumb is usually more affected. The pulp of the thumb and index finger is softer than the knuckles, and one could predict that if a different technique had been used (grinding movements with knuckles), the deformation and thinning would have been more pronounced.