Embodiments herein provide/acquire a document in electronic form (e.g., by receiving, copying, retrieving from storage, scanning combined with optical character recognition, etc.) and receive user input regarding visual impairment. In response to one or more levels of user visual impairment, embodiments herein automatically change (for example, immediately after scanning text) an appearance of the document, without requiring any user input, other than the visual impairment input. More specifically, when changing the appearance of the document, embodiments herein can increase the size of characters in the document, change the contrast or coloring of the text and/or background, and provide text-to-speech conversion of the document, thereby (in one embodiment) producing audio output of the text-to-speech conversion in coordination with a corresponding portion of the document being displayed. When changing the appearance of the document, embodiments herein also reformat the document (e.g., around graphic elements) to accommodate the increased size of the characters.