Our eyes do not only respond to visual perception but also to internal cognition involving visual imagery, which can be referred to as internal coupling. This review synthesizes evidence on internal coupling across diverse domains including episodic memory and simulation, visuospatial memory, numerical cognition, object movement, body movement, and brightness imagery. In each domain, eye movements consistently reflect distinct aspects of mental imagery typically akin to those seen in corresponding visual experiences. Several findings further suggest that internal coupling may not only coincide with but also supports internal cognition as evidenced by improved cognitive performance. Available theoretical accounts suggest that internal coupling may serve at least two functional roles in visual imagery: facilitating memory reconstruction and indicating shifts in internal attention. Moreover, recent insights into the neurobiology of internal coupling highlight substantially shared neural pathways in externally and internally directed cognition. The review concludes by identifying open questions and promising avenues for future research such as exploring moderating roles of context and individual differences in internal coupling.