Would like to get iSight, iChat and Universal Access to work together

Problem: family member with age-related macular degeneration, form not presently curable. Avid reader, feels isolated unable to do so. Due to age and related problems he's very confused trying to use Universal Access (UA) on ANY size Mac screen, situation in which I suspect he's far from being alone; I also find UA extremely cumbersome and almost unworkable.
Proposed solution: would like to procure him a second, external iSight camera, mount it on a (powerful) light stand next to a 20" iMac, have that contraption positioned over various paper documents which I propose to then magnify and display on the Mac.
iChat, unlike PhotoBooth, does not have the ability to flip images and thus render text readable. Also, zoom on iChat inadequate. PhotoBooth use (taking images, flipping, etc) very cumbersome; also, cannot seem to be able to zoom.
Dedicated CCTV units on the market accomplishing simple video magnification seem outrageously overpriced ($3-4000) and not sure if they have their own unknown issues. They would not afford the potential flexibility of a Mac, accomplishing so many other potential tasks.
Proposed solution would seem to offer a wealth of possiblities if someone may have an idea how to tie it all together. Anybody?
iMac   Mac OS X (10.4.7)   Intel

Thanks for the tip about QuickTime pro.
I think rather than moving the iSight camera down or up to adjust magnification, that you use Zoom instead.
Zoom is a lot more user friendly with something like the PowerMate. The hot keys for adjusting magnification are just a little too obscure and awkward for my tastes, but having a dedicated knob takes care of that. We use a single press to toggle inverse on and off. A press and hold to activate/deactivate Zoom altogether. Press and spin to adjust contrast.
eMac 1.42   Mac OS X (10.4.7)   I paid the going Windows price for a screen reader and got a free computer!

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