In addition to not draping (which we will overlook), the lids are not retracted far enough for the wounds, and the instruments keep touching the lids which stimulates the patient. Unless this is general anesthesia or a block, there is a guarantee that the patient will move. Part of topical is not touching the lids, and especially the lashes.
I prefer not to retract the lids too far with the speculum because it can cause posterior pressure, eyelid pain, and postop ptosis. The amount of exposure in this video seems perfect to me.
