Does it really massage your eyes (eyeballs) or is it just the surrounding areas?

Around the actual eyeball but you can feel decent pressure. Mine lost its ability to heat up so that was very disappointing to me. I really wanted it for the heat, which you could feel on your eyeballs through your eyelids. Now it just sits in a box.

How does this heat up exactly? Is it safe to use the heat. Are there any long term use effects to the eyes?

It doesn't get very warm even on the highest level. It is similar to a warm compress on your eyes. I can't speak to the long term effects because I am not a medical expert but I personally have no concerns about the safety of using it occasionally. I am not certain what is being used to heat it up, but I would imagine something similar to a heated blanket. The heat is even and I have experienced no hot spots or temperature differential, the heat is mild, relaxing, and just feels nice.

Does anyone use this on a daily basis? Have you seen and felt improvements?

Don't use it on a daily basis, but when we do, there is definitely an immediate gratification. My husband and daughter suffer from ocular migraines. At the onset of one, they use this and it helps immensely.

Can I use this mask with a damp wash cloth covering my eyes to have moist heat?

Yes, you can. But it will affect the feeling of use. For example, heat transfer will be slower. In addition, the massage force will be less.

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🔥🎙️ Recharge your eyes, recharge your life.

THERAPEUTIC WARMTH - Choose between two soothing heat settings (104℉ to 113℉) to melt away eye strain from endless screen time or dry eyes.
EFFORTLESS VOICE CONTROL - Activate and customize your eye massage hands-free with 13 quick voice commands—perfect for busy professionals on the move.
SECURE COMFORTABLE FIT - Wider elastic headband adapts to most head sizes, ensuring a snug fit that stays put whether at your desk or relaxing at home.
RECHARGE RELAX ANYWHERE - Power through your day with a robust 1500mAh battery and Bluetooth music connectivity for an immersive, on-the-go eye care ritual.
TAILORED MASSAGE EXPERIENCE - Five massage modes plus two air pressure levels deliver a personalized kneading and pressure massage targeting eye and temple tension.

The RENPHO Eyeris 1V Eye Massager combines advanced voice control with customizable heat and massage settings to relieve eye strain and headaches. Featuring a wide elastic band for comfort, a powerful 1500mAh battery, and Bluetooth music support, it’s designed for seamless integration into busy, health-conscious lifestyles. Ideal for professionals seeking stylish, effective eye care anytime, anywhere.

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