The main sort of insurmountable problem seems to be camera shake. For a subject such as the pygmy, you are shooting at a very low
subject to lens distance, with magnification. Most of the time you will be either free floating, or stabilizing yourself with one finger. For the shot I posted, I was actually in current.
This doesn't cause much trouble for normal macro photography. Normally you are shooting at a high f-stop, and the strobe is providing
essentially _all_ of the light. The strobe emits its light in a few milliseconds, which completely "freezes" the action, negating camera shake, etc.
For blue water macro, you will be adjusting either aperture or iso (or maybe exposure time, which makes the situation worse) enough so that the
natural ambient light is actually bright enough to be exposed (to produce the blue water). This means that suddenly your camera shake
_does_ matter - the sensor is going to be integrating 1/60, 1/90, 1/125 or whatever of camera shake in creating the picture.
It does not seem possible to hold the camera steady enough to avoid some of this - at these levels of magnification, every micro movement
results in significant subject movement with respect to the sensor. You can see this in the examples posted - the only one where the effect is minimal
is james', which is at a much lower reproduction ratio.
Here is another attempt. Again, basically out of camera, except for cropping:
