VoiceOver for the iOS camera is on another level entirely.
https://support.apple.com/guide/iphone/use-voiceover-in-apps...
https://www.youtube.com/watch?v=8CAafjodkyE
They can also generate alt text for photos which do not have that information already. Here's a video of the person in the original article describing this feature:
VoiceOver also works with another accessibility tool called Magnifier, allowing it to be used as a general "what am I looking at" tool.