Amid rapid urbanization, Chinese cities face mounting ecological pressure, making it critical to balance environmental protection with public well-being. As visual perception accounts for over 80% of environmental information acquisition, it plays a key role in shaping experiences and evaluations of ecological space. However, current ecological planning often overlooks public perception, leading to increasing mismatches between ecological conditions and spatial experiences. While previous studies have attempted to introduce public perspectives, a systematic framework for analyzing the spatial relationship between ecological and visual sensitivity remains lacking. This study takes 56,210 street-level points in Tianjin’s central urban area to construct a coordinated analysis framework of ecological and perceptual sensitivity. Visual sensitivity is derived from social media sentiment analysis (via GPT-4o) and street-view image semantic features extracted using the ADE20K semantic segmentation model, and subsequently processed through a Multilayer Perceptron (MLP) model. Ecological sensitivity is calculated using the Analytic Hierarchy Process (AHP)—based model integrating elevation, slope, normalized difference vegetation index (NDVI), land use, and nighttime light data. A coupling coordination model and bivariate Moran’s I are employed to examine spatial synergy and mismatches between the two dimensions. Results indicate that while 72.82% of points show good coupling, spatial mismatches are widespread. The dominant types include “HL” (high visual–low ecological) areas (e.g., Wudadao) with high visual attention but low ecological resilience, and “LH” (low visual–high ecological) areas (e.g., Huaiyuanli) with strong ecological value but low public perception. This study provides a systematic path for analyzing the spatial divergence between ecological and perceptual sensitivity, offering insights into ecological landscape optimization and perception-driven street design.