As I type this post, I currently have six different computer mice and mouse alternatives within a five-foot radius of my desk that can be used to access information on my computer and/or tablet. These are a mix of mainstream technology devices, specialty devices designed for users with disabilities, and mainstream tools that have been adapted for use as assistive technology.
Just like any other type of assistive technology, there is no single best computer mouse for low vision or a mouse alternative that can be used by every person with low vision; the best option for an accessible computer mouse is the option that supports an individual’s access preferences, motor skills, the tasks they are working on, and that enables them to access information independently. With that in mind, here is a list of options for computer mice and mouse alternatives for low vision users, including characteristics of each accessible computer mouse for low vision access and features to consider when selecting alternative input devices.
Wired or wireless computer mouse
Mainstream computer mice come in a variety of shapes, sizes, colors, and weights, so users can experiment with different options to find one that feels comfortable. I use a brightly colored mouse that can easily be spotted on my desk or in a backpack, so that I can easily locate it visually. Most computer mice include two buttons for clicking, and some models offer a physical scroll wheel for navigating long pages.
Wireless mice offer freedom of movement and reduce cable clutter on the desk, which can be helpful for users who need to reposition their mouse frequently or who use a mouse in multiple locations. Many wireless mice connect via a USB dongle or Bluetooth and are battery-powered, with options for rechargeable or single-use batteries.
Wired mice provide a reliable, lag-free connection and do not use batteries. Students who are taking proctored exams may be required to use a wired/USB computer mouse, as wireless mice are often prohibited in testing environments.
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What are those buttons on the side of a computer mouse?
Many computer mice come with extra buttons beyond the standard left click, right click, and scroll wheel. These additional buttons can be programmed to perform custom actions, which can be used to replace keyboard shortcuts or menu navigation. Examples of ways to use programmable mouse buttons for low vision access include:
- Zoom in and zoom out using Magnifier (normally triggered with Win + and Win −), or with browser zoom
- Change screen magnification settings (e.g. Lens view, invert screen)
- Open or close accessibility tools such as screen magnification, text-to-speech, or high contrast mode
- Execute keyboard shortcuts for text-to-speech commands or application-specific functions
- Launch frequently used applications such as a magnifier or to-do list
- Perform browser navigation such as back, forward, or zoom
- Take a screenshot or save a document
- Copy and/or paste text to the clipboard
Most programmable mice come with companion software that makes it straightforward to assign custom actions to each button. Examples of software include:
- Logi Options+ (free, from Logitech) supports app-specific customization, meaning buttons can be assigned different functions depending on which application is active. For example, a button could zoom in while using a browser but perform a different action in a word processor. I use this for my Logitech mouse.
- Razer Synapse (free, from Razer) offers similar button remapping and macro functionality for Razer mice.
- Microsoft Mouse and Keyboard Center support button customization for Microsoft mice, including the Microsoft Adaptive Mouse.
- AutoHotkey (free, open-source) can be used to map mouse buttons to any keyboard shortcut on mice that do not have their own companion software.
When choosing a mouse with programmable buttons, consider how many extra buttons are needed, where they are physically located on the mouse (side buttons operated by the thumb are common), and whether the companion software is compatible with the operating system in use.
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Ergonomic computer mouse
Ergonomic mice are designed to reduce strain on the wrist, hand, and forearm during extended computer use, ideal for users with low vision that spend a lot of time at the computer. One common ergonomic mouse style is a vertical mouse, which positions the hand in an upright “handshake” position rather than flat on the desk; users can still access mouse buttons and use a scroll wheel. When choosing an ergonomic mouse, consider the size of the hand, whether left- or right-handed use is needed, and whether a mouse that sits flat or at an angle is preferred.
For users that are searching for a customizable ergonomic mouse that can be used across multiple operating systems (including mobile devices), the Microsoft Adaptive Mouse is a wireless mouse that can connect to multiple devices simultaneously and offers several options for attachments, including thumb support and mouse tail extensions. Users can also search for 3D-printable designs to extend customization further; this is helpful for selecting an accessible mouse that can be used in a variety of contexts or when switching between devices (e.g. school and home computer)
Handheld computer mouse
Handheld mice (sometimes called air mice/air mouse or gyroscopic mice/gyroscopic mouse) are held in the hand and use motion sensors to control the cursor, rather than being moved across a flat surface. This can be useful for users who need to control a computer from a distance (such as when using a large monitor or projector screen) or who find it difficult to use a flat desk surface. Handheld mice may require some adjustment time, as the motion-based control is different from using a mouse on a solid surface.
Touchpad or trackpad
A touchpad (also called a trackpad) is a tactile pad that allows users to control the cursor using finger gestures. Touchpads support gestures such as pinch-to-zoom, two-finger scroll, and tap-to-click, which can be useful for users with low vision who rely on magnification.
While most laptops have a built-in touchpad, external touchpads can be purchased as standalone peripheral devices. The Apple Magic Trackpad is a popular example that I have personally used, which offers a large, smooth surface with support for a wide range of multi-touch gestures. The Magic Trackpad works with both Mac and Windows computers.
Some users find that touchpads are more difficult to use than an external mouse and may find they move more slowly or are more likely to accidentally activate the touchpad. Other factors include holding the hand at an awkward angle or disliking the flat texture. However, for users who prefer gesture-based input or who find a traditional mouse difficult to control, an external touchpad may be easier to use than the smaller built-in touchpads offered on laptops.
Related links
- Questions To Ask When Choosing A Laptop For College
- High School Laptops and Low Vision
- Mainstream Technology and Low Vision: Computers
Trackball mouse (Rollerball)
A trackball (sometimes referred to as a rollerball) uses a ball that can be moved by the thumb or fingers to position the on-screen cursor. Because the mouse body stays stationary, there is no need to move an entire hand across the desk; only the ball moves. The mouse buttons are separated from the trackball, making it easier to hold the cursor steady when clicking.
Trackballs come in several configurations:
- Finger-operated trackballs place the ball in the center of the device and are rolled with the index and middle fingers. These are often preferred by users who want an ambidextrous design or who find thumb operation uncomfortable.
- Thumb-operated trackballs position the ball on the side of the device and are operated with the thumb. These often feature sculpted designs for use with a specific hand (e.g., right-hand design) and are operated with the thumb, while the fingers rest on the mouse buttons. These tend to feel more like a traditional mouse in terms of hand position.
- Larger trackball models can be manipulated with the palm, forearm, or even the foot, which may be useful for users with additional motor considerations.
Trackballs may be sold as stand-alone devices, or ergonomic mouse options may include a trackball on the side of a “standard” mouse that can be used for precisely positioning the cursor. A keyboard with a built-in trackball eliminates the need to move between a keyboard and a separate mouse, which can be helpful for users who find it difficult to locate or reach a separate mouse.
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Joystick
Joysticks are a computer mouse alternative that require less fine motor coordination than a traditional mouse or trackball, and can be customized to accommodate different grip styles. Computer joysticks typically include left click, right click, and a drag-lock function so that users can drag items across the screen without holding a button.
Windows users who want to use a standard gaming joystick as a mouse can implement this functionality with AutoHotkey, a free and open-source scripting program, or use another program like Joystick2Mouse. Several joystick-style mouse options can also be purchased either as standalone devices or as adaptive accessories for an adapted computer mouse.
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Pen mouse
A pen mouse is held like a writing pen rather than a standard mouse. Instead of sliding a mouse across a desk, the user tilts or moves the pen to control the cursor. This can be a more natural and comfortable grip for some users, particularly those who already use a stylus for drawing or notetaking, though long-term use can lead to repetitive strain in the index finger/thumb if the device is used exclusively. A pen mouse is different from a stylus as it often includes buttons for common clicking functions and can be used with or without a touchscreen.
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Finger mouse
A finger mouse attaches to one finger (usually the pointer finger) and uses either gestures or physical buttons for scrolling and clicking. Some finger mice require the use of multiple fingers. Finger mice can be a useful option for users who want a compact, portable input device that doesn’t require a flat surface or that prefer one-handed use.
Touchscreen
I love using a touchscreen to interact with content as a user with low vision, and many users with low vision find it easier to use gestures and manipulate screen input with fingers instead of leaning close to the screen to follow a mouse cursor or memorize keyboard shortcuts. This is especially helpful for notetaking applications and drawing tools, though there are still use cases where I prefer to use a keyboard or mouse, such as when I am typing for long periods of time or editing text. Touchscreens can be used with a finger or paired with a stylus.
It is worth noting that touchscreen devices like iPads and smartphones can be paired with a wireless mouse so that users can access the screen. This is especially helpful for users who are dealing with an unresponsive touchscreen or cracked screen that prevents unlocking the device; pair a wireless computer mouse to the phone/tablet to type in the lockscreen PIN and use other applications with a mouse. I recommend pairing a wireless mouse proactively so it can be connected easily to the device!
Related links
- Mainstream Technology and Low Vision: Tablets
- Why I Prefer My Schoolwork Digitally: Updated Edition
- How I Use Microsoft OneNote With Low Vision
Keyboard access
Blind and nonvisual computer users cannot use a computer mouse and instead use keyboard access with a screen reader, or other alternatives like voice access or a touchscreen. However, a screen reader does not need to be enabled to use keyboard access; there are many options for controlling a computer with keyboard shortcuts and hotkeys, either alone or paired with a mouse or mouse alternative. I like to use keyboard access when working with programs that have small icons in the toolbar, as I find it faster to use a keyboard shortcut than to search for an icon with a magnification tool.
Some screen reader software may override default keyboard shortcuts; a keyboard shortcut guide can provide insight on how to use keyboard shortcuts with a screen reader, including how to create custom shortcuts.
Related links
- How To Use VoiceOver With Low Vision on iPad
- Mainstream Technology and Low Vision: Keyboards
- My Most-Used Keyboard Shortcuts For Academic Writing
- How To Create Custom Keyboard Shortcuts in Windows
- Microsoft Office Specialist Certification and Low Vision
- How I Use Canvas With Low Vision
Voice access/virtual assistant
Voice access (sometimes referred to as speech recognition) allows users to control their device with voice alone or when paired with other input options. Voice access tools are built into several mainstream technologies including Windows and Mac computers, as well as iOS and Android mobile devices. I previously included Dragon NaturallySpeaking from Nuance as a paid option for voice access, but Nuance was acquired by Microsoft; Dragon Professional is still being offered but is not updated frequently.
Options for using voice access or controlling a computer via voice include:
- Windows Voice Access is a free, built-in option for Windows 11 users (replacing Windows Speech Recognition) that supports system-wide dictation and voice commands for controlling the PC without a mouse or keyboard.
- Apple Dictation and Voice Control are built into macOS and iOS at no cost, offering system-wide dictation in any application as well as a full hands-free Voice Control mode for operating a Mac without a mouse or keyboard
- Other AI-powered tools like Cephable and Voicy also offer options for voice control and are available across multiple platforms.
For users who don’t need to access their device exclusively through voice but want to use voice access occasionally, virtual assistant applications such as Siri can be used to open applications and perform other computer tasks without a mouse or keyboard.
Related links
- Use Voice Control on your iPhone, iPad, or iPod touch – Apple Support
- Get started with Voice Access spoken commands – Android Accessibility Help (google.com)
- Mainstream Technology and Low Vision: Smart Speakers
- Low Vision Accessibility Settings For Windows 10 and 11
- Low Vision Accessibility Settings For MacBooks
Practical tips for choosing a computer mouse with low vision
With so many options available, it can be overwhelming to know where to start. Here are a few practical suggestions:
- Try before buying whenever possible. Many assistive technology lending libraries and AT centers allow users to borrow devices before purchasing; check out state AT resources funded by the Tech Act. Here in Virginia, this resource is part of the Virginia Assistive Technology System, which works closely with the Department for the Blind and Vision Impaired (DBVI)
- Work with an assistive technology specialist who can assess specific needs and recommend options based on a vision profile, motor skills, and the tasks performed most often. This is especially relevant for students with multiple disabilities
- Consider the full setup. The mouse or alternative input device should work well with other AT tools, including screen magnification software, desktop/laptop computers, and any other accessibility settings in use. When possible, choose mice that can be used across multiple operating systems, which can provide more flexibility.
- Instead of searching for a single all-purpose device, consider keeping multiple options in an “AT Toolbox” that can be used for specific tasks. Some examples of tools I have include a standard wireless mouse with buttons, trackball (separate device), and a touchpad.
Related links
- Services Provided By State Unit/State Department for Visual Impairment
- Vocational Rehabilitation for College Students
- What To Know About College Assistive Technology Specialists
Other computer mouse alternatives for low vision
- Switch access can replace the computer mouse and/or keyboard. Switches can be operated by any body part that produces voluntary and consistent movement.
- Eye control allows users to control their computer using eye movement alone, but is not a good option for people with nystagmus or involuntary eye movements. Head control is another option that allows for control over the device using head movement alone.
- AI-powered alternative input devices are another option that can be used as an accessible computer mouse or mouse alternative. Many of these tools assist users with developing macros or workflows that can be used to automate repetitive tasks that are traditionally completed with a mouse or keyboard.
Published February 7, 2023. Updated April 2026