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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Cases. May 6, 2026; 14(13): 119291
Published online May 6, 2026. doi: 10.12998/wjcc.v14.i13.119291
Letter to the Editor: Bridging the visual and the visceral: Critical commentary on the scope and methodological limits of integrated psycho-ophthalmology
Takahiko Nagamine
Takahiko Nagamine, Department of Psychiatric Internal Medicine, Sunlight Brain Research Center, Hofu 7470066, Japan
Takahiko Nagamine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyou 1138510, Yamaguchi, Japan
Author contributions: Nagamine T carried out all aspects of this work.
Conflict-of-interest statement: The author declares that he has no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Corresponding author: Takahiko Nagamine, MD, PhD, Department of Psychiatric Internal Medicine, Sunlight Brain Research Center, 4-13-18 Jiyugaoka, Hofu 7470066, Japan. tnagamine@outlook.com
Received: January 23, 2026
Revised: February 16, 2026
Accepted: March 10, 2026
Published online: May 6, 2026
Processing time: 90 Days and 5.3 Hours
Core Tip

Core Tip: The study by Capobianco et al highlights the high psychological burden in a diverse cohort of patients with rare and systemic diseases. However, the term “autoimmune ophthalmology” is used loosely, conflating autoimmune conditions with hereditary and degenerative diseases. While the study proves that embedding mental health professionals within ophthalmic departments is feasible, the small sample size and lack of a control group preclude definitive conclusions about causality. Future research must distinguish between functional loss and identity disruption to move from a rhetorical to an analytically robust model of integrated care.