Thanks for the great replies everyone and Jeff, your post really summed it up I think. Portal lights are pretty good and in small scale cases it’s possible to hide that the light is coming from the centre, like below:

Could I change the question
What if I’m wanting to make a fluorescent tube i.e. a light that casts even light? That probably cannot be done either… Here’s my experiment with a photometric light emitting from a ‘cylinder shape’ with the ‘light shape visible to renderer’. I tried adding a glow effect to the light but of course the glow comes from the centre and forms a sphere, doh!

Thorsten posted something about this but I didn’t understand really.

its really not the same, but its better than the rectangular photometric light and closer to the vraylight. 