High-functioning Apple workflows with peripheral vision loss

By Philipp Nett, 17 May, 2026

Forum
Low Vision Accessibility on Apple Products

Hello everyone,

I am a Swiss physician and academic with progressive peripheral visual field loss, while my central vision is still functionally useful.

I am looking for practical exchange with high-functioning low-vision Apple users, especially people with peripheral vision loss, tunnel vision, glaucoma, retinitis pigmentosa, or similar visual field conditions.

I am less interested in diagnosis-specific emotional support and more interested in robust professional workflows:

- Mac, iPad and iPhone setup
- screen magnification / Zoom
- VoiceOver as backup or primary tool
- OCR and document reading
- email and writing workflows
- presentations and teaching
- window management and screen layout
- mobility and orientation strategies
- transition from mainly visual to hybrid visual-auditory work

My goal is to build a robust Apple-based coping and assistive-technology system early, before I urgently depend on it.

I would be very grateful for practical advice, examples of your setups, app recommendations, hardware tips, shortcuts, and lessons learned.

Thank you.

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Comments

By Brad on Sunday, May 17, 2026 - 15:29

As far as I know there's no way to actualy make the text bigger, or at least it's not something i've learnt about.

Applevis is mostly completely blind users who use voiceover on their macs and Iphones.

Maybe r/blind might be useful, they even had a discord.

By mr grieves on Sunday, May 17, 2026 - 16:46

I have RP and used my Mac as a low-vision user before eventually requiring VoiceOver.

You can make things a little bit bigger on the Mac - there are a few display options but even the biggest one isn't that great, but obviously better than nothing. Many apps allow you to adjust their font size individually - things like Cmd with + and - usually increase and decrease the text, particularly in web browsers.

The mouse pointer can be made really big - this makes it a touch clumsy to use but I would recommend whacking that right up if you are forever losing the cursor like I was. This initially was made me fall for the Mac, believe it or not.

Obviously the magnification tool in the Mac is worth getting to grips with. I used to zoom in with, I think, option+mouse wheel and I was forever zooming in and out of the screen - it could make you a little sick if you were to really think about it but it was OK. There are likely better options than that.

Not strictly related to what you are saying, but I found light backgrounds intolerable. I switched the Mac to use the dark theme and installed Dark Reader in all my browsers. This extension turns all web sites dark. I then setup a shortcut to invert the Mac's colours for those times I found an app that didn't have a dark theme. This made a huge difference to me. I know there are other browser extensions to do this sort of thing so might be worth exploring.

If you are likely to need a screen reader in the future, I would start messing about with one as soon as possible. Even if you just turn on VoiceOver and get used to the constant noise without doing anything else it will help. To start with I found it incredibly intimidating and upsetting just to hear all that sound all the time, so giving yourself the space to get used to it before you need it is probably helpful. And then you can start playing about with it - use it for some things and build up from there. You could also dabble with Spoken Content on the Mac which will speak selected things to you without having to go the full fat VoiceOver approach. Or an even lighter way would be to use Microsoft Edge to speak web pages to you with those lovely natural voices. You can also do other things - if you listen to podcasts or use a smart speaker, try bumping up the speech rate a little to help get used to hearing things at a faster rate. Anything that gets you listening to information rather than reading it visually will help in the long run.

It took me a long time to get used to VoiceOver and I was glad I had put some effort in, but it was still a shock when I lost my last remaining sight and suddenly had to start depending on it, so the more you can do up front the better. It is quite complicated and buggy so getting some practice helps. I found text editing incredibly confusing and frustrating initially.

It might also be worth reviewing the apps you use on a day to day basis and make sure that their accessibility features meet what you need. For example, can you make things bigger, change the colours etc and do they work with VoiceOver. Start to use apps that will last you so that you don't have to suddenly learn new ones should your vision loss go that way.

In all cases, get used to keyboard shortcuts. If you have peripheral vision issues then this means you can do things without looking for toolbars or menus or whatever. The Mac menu bar is great because it usually lists the shortcuts there. If you find yourself routinely doing something with the mouse then try to bit by bit replace it with a keyboard shortcut as and when you can.

One interesting thing I learned recently from the Double Tap podcast was that you can assign any keyboard shortcuts to any application menus in the Mac. I believe it is under System Settings, then Keyboard, then there should be a list of apps in there somewhere.

Anyway sorry if you've already gone through these things or if they aren't relevant to you, but these are the things that helped me.

By Philipp Nett on Sunday, May 17, 2026 - 17:26

Dear Mr Grieves,

Thank you very much for this thoughtful and practical reply. This is exactly the kind of real-world experience I was hoping to learn from.

Your point about not waiting until VoiceOver becomes necessary is particularly helpful. I can imagine that the transition from visual work to auditory or hybrid work is not only technical, but also cognitively and emotionally challenging. Starting early makes a lot of sense.

I also appreciate your concrete suggestions regarding dark mode, Dark Reader, screen zoom, a larger mouse pointer, Spoken Content, Edge read-aloud, and especially the systematic use of keyboard shortcuts. The idea of reviewing my current apps now, before I may urgently depend on accessibility, is very valuable.

This gives me a clear direction: build a hybrid Apple workflow early, practise VoiceOver gradually, reduce mouse dependence, and make my daily professional tools more robust before I actually need them.

Many thanks again for taking the time to share your experience.

Kind regards,
Philipp