I put these on the Puppy forums but thought I should make a copy here
What do you mean by low vision Puppy. Do you just need a magnifier, or text to speech.
If you just wish something to read the menus, try Jwmspeak as the window manager.
LightHousePup has, I believe, a setting which can be used to increase the font size.
Mu’s KDE3.58 sfs doesn’t seem to be around any more, but if you can find a KDE that can be installed, KDE’s accessibility stuff, Kttsd and Ksayit works fairly well.
I tried it in Puppy 4.x and it works pretty well.
Lighthousepup does have a KDE sfs. No idea if it will work in standard Puppy.
Mcewanu’s Foksyf eye r system can be added to any puppy.
Eldy works well. I’ve never tried it, under that name anyway, But I like Noob
I believe Lobster has included Eldy in one of his Tmxxine editions.
Wow has made a gnome sfs in which Orca can be made to work, at least partially. I don’t know if it is still available. That version worked with 3.01. This works in Puppy 4.00
Edbrowse is a nice program if you can live without graphics and a very steep learning curve.
Regarding Orca, Knoppix has been able to get it working with LXDE or their lastest distro. I have no idea how. There’s attempts to get Orca working with XFCE.