Blessing in disguise: medulloepitheloma unmasked by incidental trauma

Small medulloepitheliomas often go undetected due to anterior placement of iris. Even after symptoms develop, clinical suspicion of tumor is often overlooked due to wide variation in presentation. Medulloepitheliomas being slow-growing tumors are not visible until they enlarge enough to protrude into the pupil, distort the iris, or invade adjacent tissues.1 The decreased vision in medulloepithelioma are due to subluxation and dislocation of the lens with cataract formation. With subsequent ciliary body epithelium involvement, the aqueous production is hampered, leading to signs of glaucoma as well as hypotony.