This game has text to speech support by hitting the "v" key during gameplay. It is fully playable with the keyboard (arrow keys, space bar or enter, escape) and should work with a controller, although I haven't tested that part.
Gotcha, well at least it's good to know... :)
Maybe something to consider at least for vital visuals in the future, though I know you've got allot on your plate already. If you need any help or testing, try the audiogames.net forums, r/blind on reddit, or this discord server: https://discord.gg/c3rGEQFNs