Text-to-speech recommendations for code editors?

Hi there,

I’m in an annoying situation where I’ve been unable to work effectively for the past 2 weeks due to some eye inflammation. I didn’t lose my sight but focusing and reading text on a display for longer than 15-20 minutes makes me feel pretty tired and results in headaches, itching, slight nausea, and other uncomfortable feelings.

I touch type and I can write without problem with closed eyes (modulo a few typos), and can see my screen, but not focus on block of text. That makes it basically not possible to write and review code.

I started looking into accessibility features, but while I found pretty good speech-to-text tools for VSCode based on GitHub Copilot, I haven’t found the opposite, something that would help me review blocks of code via audio. Screen readers I tried aren’t ideal, they are more adapted to situations where the user cannot see their display at all (with all the complexity that goes with it) and read everything as if it was prose, which doesn’t work well for code (or it’s a skill issue on my side, I have limited experience using them).

Just curious if people on HN would have interesting recommendations. Accessibility features are often pretty niche, it has been difficult to find information about them that go a bit further than “activate voiceover” and discuss actual use cases.