Ask HN: Are any of you blind programmers and what tools do you use?

See following stackoverflow question, I'm the highest voted answer but some good info from others as well. http://stackoverflow.com/questions/118984/how-can-you-progra... It's a bit out of date because I now use windows 7 and Vagrant with a command-line for a lot of things but screen reading software is still the same.

Can you anyone tell me that what we should do when we are not finding the better way to picked up our site on the top ?