Not all extraocular photoreceptors in the human brain have been identified
or their functions determined. The efferent and afferent fibres between the
orbital frontal cortex and the hypothalamus cannot be overlooked in the co
ntext of the neuro-endocrine-immune feedback loop. It is suggested here tha
t there are extraocular photoreceptors in the orbital frontal cortex, conce
ivably crucial for immunoregulation. The orbital frontal cortex of 7 volunt
eers with rheumatoid arthritis (RA) was photostimulated through the roof of
the orbits with filtered visible light in sessions of 12, 14 and 16 minute
s for a period of 6 weeks. Within 5 weeks, a significant decrease in the rh
eumatoid factor titres of 6 subjects was observed together with marked clin
ical improvement in 4 cases.