Abstract: Described are techniques for enabling pointer devices to be used by users with vision impairment to interact with rendered content. Sounds may be output to a user to indicate the presence of one or more features within rendered content. Characteristics of the sounds may be used to indicate the position of the features within a user interface, the distance between the features and a pointer associated with a pointer device, and the direction of the features relative to the pointer. Sounds may also be used to indicate the type or size of rendered content. Responsive to the sounds, a user with impaired vision may manipulate the pointer device to reposition the pointer. Additional or modified sounds may be provided to the user based on the subsequent position of the pointer.