EYEASE
    I have an octogenarian relative who visits me and likes to play games
on my computer.  Mahjongg presented a problem visually.  With this program
it was easy to solve the problem using the Tilemaker utility. Everything
in this set of tiles is big and uncomplicated facilitating use by the 
visually impaired. Selecting a neutral background also helps.
    It was conceptually easier to for my subject to respond to the original
Mahjongg tile suit format.
     Solid colors replace bamboo.
     Bordered colored rectangled repalce dots.
     Large numerals replace characters.
     Circles replace the dragons.
     Large letters (N-S-E-W) replace the winds.
     Colored X's replace flowers.
     Diminishing rectangle texture replaces the seasons.
Hope this helps others.
                           Lucile Morgan