I have an eye condition, I am not fully blind but I have a lot of trouble with text (I use the zoom feature,TTS, and big fonts in my desktop and apps.
What would be super helpful for me would be things like:
1 allow changing fonts and font size, some games use some weird "fantasy" or hand-writing fonts , this are very hard to read so give us the option to use plain Arial font.
2 implement UI scaling so fonts and icons can be larger
3 don't make important ame objects hard to be found, maybe an option to outline things if you press a key, when you have disabilities is always a doubt in your mind that there is something on the screen but you can't see it. This is super annoying in point and click adventure games where you need to sport 1 pixel sized item or some very well hidden object.
4 for games with lot of text like lot of dialog that is not voiced , lot of books,computers or stuff to read I would love if more games support TTS (text to speech), I don't mean include a TTS engine in your game, just send the text to an application , or local port that the user specified and the user can't use it's own TTS program with his preferred settings to listen for the text.
5 For dialog boxes give us the option to set a full opacity background, set the text font family,color and size , for some games I used OCR(Optical Character Recognition ) to read the dialog windows but OCR can fail or take a long time if the font family is a weird gaming font or the dialog background has transparency.
6 If you make a game because you want to make the game (and not because you are learning some cool language or how game engines work - witch is very good you want to learn) try to use existing game engines, this engines will have already some accessibility support or there is enough experience on how to mod things in. So if you want to make a text adventure game use the best tool for the job and not create your own engine.
I am sure some of this would help a lot of people that have smaller eye issues and those would appreciate some of thios options.