The iPhone does pretty well for people with bad sight. The accessibility functions in settings can make it very usable even for totally blind people.
And here's a tweak for jailbroken iPhones that makes it even more useful.
It's called TimeSpeak and it gives your iPhone a voice to speak the time and date. You can set various hardware option to trigger it like double-press the home button or even shake the phone. You can also set options for how much information it gives.
TimeSpeak is a free download in the Cydia app store.
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