A lighting system for an operating room wherein machine-controlled light sources are Bluetooth™-enabled to allow them to locate and track the movement of a device worn on the hand or wrist of a surgeon or other operating room personnel. In preferred embodiments, the system described herein will accommodate light source tracking for multiple surgeon-worn devices worn by one or more wearers. The system is capable of toggling between modes of following the wearer's movement and focusing on a single point determined by the wearer, where mode swapping can be controlled by the surgeon from the device itself. The system preferably accommodates the adjustment of multiple characteristics of the light source, such as light intensity, from the hand or wrist device. A periphery ribbon may also be used to control the direction of light sources. Applications of the invention y stretch to other fields such as construction or theater lighting.