The possibility of getting keratoconus is uncertain, because it is related to the use of eyes after surgery or after trauma and impact, and it is not a definite result.
If you recover well, there will be no problem. To prevent keratoconus, we should start from many aspects, not just eat foods that reduce intraocular pressure.
After the operation, the ability of eyes to resist external force will be slightly weaker than before, and normal eyes can't bear the blow of fists, let alone after the operation.
Finally, I wish you good health.