If you're using an eye-tracking mouse, you might enjoy Precision Gaze Mouse. Its a much faster way to click because you can skip the zoom in step. It uses eye tracking for large movements, and head tracking for small precision movements. I'm also a developer with an injury and I made it help myself, but several other people are using it now too.
I use Caster every day. In fact I'm writing this using Dragon & Caster. There are open source scripts for most programs like Atom and Visual Studio code. Customizing them is really easy since it's open source and the scripts are just Python.
Check out Precision Gaze Mouse https://precisiongazemouse.com/. It allows you to move the mouse hands-free, which can save time versus moving your arm back and forth. It's also very accurate because it tracks both eye and head movement.
https://precisiongazemouse.org/