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Controlling the light is necessary to work efficiently in the OR: to obtain this control, the reflection technologies of surgical lamps must be carefully studied. The purpose of this video is therefore to illustrate the various ways in which surgical lights produce and direct light, between theoretical principles and practical applications. Following the chronological development of scialytic lamps, we will start with halogen lights, which exploited the principles of indirect reflection, and we will then address LED lamps, which initially only implemented direct reflection. Finally, we will see how the major advantages of indirect light, such as maximisation of the light-emitting surface area and reduction of glare, have steered research towards LED solutions that implement this reflection technology. 0:00 introduction 0:41 controlling the light 1:14 reflection technologies 1:34 indirect reflection 2:13 shapes to reflect light 4:34 the introduction of LEDs 5:05 direct reflection 5:19 convergence and divergence 6:26 indirect and direct 7:30 light emitting surface 10:32 glare 12:01 summing up