Abstract
Ectopic lacrimal glands are rare, particularly intraocularly. We present the case of an infant who presented with a fleshy, vascular intraocular lesion and subsequently developed secondary glaucoma. The patient underwent primary enucleation, which was preferred over diagnostic biopsy due to the likelihood of malignancy and poor visual prognosis. Histology confirmed intraocular lacrimal gland choristoma. This case highlights the challenges in clinical diagnosis of intraocular lesions, and the potentially aggressive nature of benign tumours such as lacrimal gland choristomas.
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