Virtual reality (VR) has evolved substantially beyond its initial remit of gaming and entertainment, catalyzed by advancements such as improved screen resolutions and more accessible devices. Among various interaction techniques introduced to VR, eye-tracking stands out as a pivotal development. It not only augments immersion but offers a nuanced insight into user behavior and attention. This precision in capturing gaze direction has made eye-tracking instrumental for applications far beyond mere interaction, influencing areas like medical diagnostics, neuroscientific research, educational interventions, and architectural design, to name a few. Though eye-tracking’s integration into VR has been acknowledged in prior reviews, its true depth, spanning the intricacies of its deployment to its broader ramifications across diverse sectors, has been sparsely explored. This survey undertakes that endeavor, offering a comprehensive overview of eye-tracking’s state of the art within the VR landscape. We delve into its technological nuances, its pivotal role in modern VR applications, and its transformative impact on domains ranging from medicine and neuroscience to marketing and education. Through this exploration, we aim to present a cohesive understanding of the current capabilities, challenges, and future potential of eye-tracking in VR, underscoring its significance and the novelty of our contribution.