Are there any screen readers available for Mac?

I've been diagnosed with cataracts, and at least for the short term, I need something to help read screens, documents, etc. Is there something built into my Mac or do I need to look externally?
Thanks in advance for any help!
Cindy

In your settings there is a section titled Accessibility - http://www.apple.com/accessibility/macosx/vision.html
Have a loot there (things like voice over to read text).
You might want to think about buying something though. Dragon is the king of the hill for speech dictation and control - pair it with a decent USB headset and microphone (you can get really nice ones for $40-$70) and you almost never need touch the keyboard.
http://www.nuance.com/for-individuals/by-product/dragon-for-mac/dragon-dictate/i ndex.htm
While the built in OS X features are good, the commercial stuff goes a lot further, just something to think about (I have a dyslexic relative who uses dragon and thinks its amazing).

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