diff --git a/src/applications/favorites/engineextension/PhabricatorFavoritesMainMenuBarExtension.php b/src/applications/favorites/engineextension/PhabricatorFavoritesMainMenuBarExtension.php
--- a/src/applications/favorites/engineextension/PhabricatorFavoritesMainMenuBarExtension.php
+++ b/src/applications/favorites/engineextension/PhabricatorFavoritesMainMenuBarExtension.php
@@ -30,7 +30,8 @@
       ->addClass('phabricator-core-user-menu')
       ->setNoCSS(true)
       ->setDropdown(true)
-      ->setDropdownMenu($dropdown);
+      ->setDropdownMenu($dropdown)
+      ->setAuralLabel(pht('Favorites Menu'));
 
     return array(
       $favorites_menu,
diff --git a/src/applications/people/engineextension/PeopleMainMenuBarExtension.php b/src/applications/people/engineextension/PeopleMainMenuBarExtension.php
--- a/src/applications/people/engineextension/PeopleMainMenuBarExtension.php
+++ b/src/applications/people/engineextension/PeopleMainMenuBarExtension.php
@@ -43,7 +43,8 @@
       ->setIcon($profile_image)
       ->addClass('phabricator-core-user-menu')
       ->setHasCaret(true)
-      ->setNoCSS(true);
+      ->setNoCSS(true)
+      ->setAuralLabel(pht('Account Menu'));
 
     return array(
       $user_menu,
diff --git a/src/applications/transactions/view/PhabricatorApplicationTransactionCommentView.php b/src/applications/transactions/view/PhabricatorApplicationTransactionCommentView.php
--- a/src/applications/transactions/view/PhabricatorApplicationTransactionCommentView.php
+++ b/src/applications/transactions/view/PhabricatorApplicationTransactionCommentView.php
@@ -230,7 +230,7 @@
       'div',
       array(
         'style' => 'background-image: url('.$image_uri.')',
-        'class' => 'phui-comment-image',
+        'class' => 'phui-comment-image visual-only',
       ));
     $wedge = phutil_tag(
       'div',
diff --git a/src/infrastructure/diff/view/PHUIDiffInlineCommentDetailView.php b/src/infrastructure/diff/view/PHUIDiffInlineCommentDetailView.php
--- a/src/infrastructure/diff/view/PHUIDiffInlineCommentDetailView.php
+++ b/src/infrastructure/diff/view/PHUIDiffInlineCommentDetailView.php
@@ -233,7 +233,8 @@
         ->setIcon('fa-reply')
         ->setTooltip(pht('Reply'))
         ->addSigil('differential-inline-reply')
-        ->setMustCapture(true);
+        ->setMustCapture(true)
+        ->setAuralLabel(pht('Reply'));
     }
 
     if ($this->editable && !$this->preview) {
@@ -242,14 +243,16 @@
         ->setIcon('fa-pencil')
         ->setTooltip(pht('Edit'))
         ->addSigil('differential-inline-edit')
-        ->setMustCapture(true);
+        ->setMustCapture(true)
+        ->setAuralLabel(pht('Edit'));
 
       $action_buttons[] = id(new PHUIButtonView())
         ->setTag('a')
         ->setIcon('fa-trash-o')
         ->setTooltip(pht('Delete'))
         ->addSigil('differential-inline-delete')
-        ->setMustCapture(true);
+        ->setMustCapture(true)
+        ->setAuralLabel(pht('Delete'));
 
     } else if ($this->preview) {
       $links[] = javelin_tag(
@@ -268,7 +271,8 @@
         ->setTooltip(pht('Delete'))
         ->setIcon('fa-trash-o')
         ->addSigil('differential-inline-delete')
-        ->setMustCapture(true);
+        ->setMustCapture(true)
+        ->setAuralLabel(pht('Delete'));
     }
 
     if (!$this->preview && $this->canHide()) {
@@ -277,7 +281,8 @@
         ->setTooltip(pht('Collapse'))
         ->setIcon('fa-times')
         ->addSigil('hide-inline')
-        ->setMustCapture(true);
+        ->setMustCapture(true)
+        ->setAuralLabel(pht('Collapse'));
     }
 
     $done_button = null;
diff --git a/src/view/page/menu/PhabricatorMainMenuSearchView.php b/src/view/page/menu/PhabricatorMainMenuSearchView.php
--- a/src/view/page/menu/PhabricatorMainMenuSearchView.php
+++ b/src/view/page/menu/PhabricatorMainMenuSearchView.php
@@ -94,21 +94,24 @@
         'action' => '/search/',
         'method' => 'POST',
       ),
-      phutil_tag_div('phabricator-main-menu-search-container', array(
-        $input,
-        phutil_tag(
-          'button',
-          array(
-            'id' => $button_id,
-            'class' => 'phui-icon-view phui-font-fa fa-search',
+      phutil_tag(
+        'div',
+        array(
+          'class' => 'phabricator-main-menu-search-container',
+        ),
+        array(
+          $input,
+          phutil_tag(
+            'button',
+            array(
+              'id' => $button_id,
+              'class' => 'phui-icon-view phui-font-fa fa-search',
             ),
-          array(
-            $selector,
-            $search_text,
-          )),
-        $primary_input,
-        $target,
-      )));
+            $search_text),
+          $selector,
+          $primary_input,
+          $target,
+        )));
 
     return $form;
   }
@@ -207,6 +210,7 @@
         id(new PHUIIconView())
           ->addSigil('global-search-dropdown-icon')
           ->setIcon($current_icon))
+      ->setAuralLabel(pht('Configure Global Search'))
       ->setDropdown(true);
 
     $input = javelin_tag(
diff --git a/src/view/page/menu/PhabricatorMainMenuView.php b/src/view/page/menu/PhabricatorMainMenuView.php
--- a/src/view/page/menu/PhabricatorMainMenuView.php
+++ b/src/view/page/menu/PhabricatorMainMenuView.php
@@ -232,7 +232,8 @@
       ->addClass('phabricator-core-user-menu')
       ->addClass('phabricator-core-user-mobile-menu')
       ->setNoCSS(true)
-      ->setDropdownMenu($dropdown);
+      ->setDropdownMenu($dropdown)
+      ->setAuralLabel(pht('Page Menu'));
   }
 
   private function renderApplicationMenu() {
diff --git a/src/view/phui/PHUIButtonView.php b/src/view/phui/PHUIButtonView.php
--- a/src/view/phui/PHUIButtonView.php
+++ b/src/view/phui/PHUIButtonView.php
@@ -31,6 +31,7 @@
   private $noCSS;
   private $hasCaret;
   private $buttonType = self::BUTTONTYPE_DEFAULT;
+  private $auralLabel;
 
   public function setName($name) {
     $this->name = $name;
@@ -123,6 +124,15 @@
     return $this->buttonType;
   }
 
+  public function setAuralLabel($aural_label) {
+    $this->auralLabel = $aural_label;
+    return $this;
+  }
+
+  public function getAuralLabel() {
+    return $this->auralLabel;
+  }
+
   public function setIcon($icon, $first = true) {
     if (!($icon instanceof PHUIIconView)) {
       $icon = id(new PHUIIconView())
@@ -265,10 +275,21 @@
       $caret = phutil_tag('span', array('class' => 'caret'), '');
     }
 
+    $aural = null;
+    if ($this->auralLabel !== null) {
+      $aural = phutil_tag(
+        'span',
+        array(
+          'class' => 'aural-only',
+        ),
+        $this->auralLabel);
+    }
+
+
     if ($this->iconFirst == true) {
-      return array($icon, $text, $caret);
+      return array($aural, $icon, $text, $caret);
     } else {
-      return array($text, $icon, $caret);
+      return array($aural, $text, $icon, $caret);
     }
   }
 }
diff --git a/src/view/phui/PHUIHeadThingView.php b/src/view/phui/PHUIHeadThingView.php
--- a/src/view/phui/PHUIHeadThingView.php
+++ b/src/view/phui/PHUIHeadThingView.php
@@ -55,7 +55,7 @@
     $image = phutil_tag(
       'a',
       array(
-        'class' => 'phui-head-thing-image',
+        'class' => 'phui-head-thing-image visual-only',
         'style' => 'background-image: url('.$this->image.');',
         'href' => $this->imageHref,
       ));
diff --git a/src/view/phui/PHUITimelineEventView.php b/src/view/phui/PHUITimelineEventView.php
--- a/src/view/phui/PHUITimelineEventView.php
+++ b/src/view/phui/PHUITimelineEventView.php
@@ -404,7 +404,7 @@
         ($this->userHandle->getURI()) ? 'a' : 'div',
         array(
           'style' => 'background-image: url('.$image_uri.')',
-          'class' => 'phui-timeline-image',
+          'class' => 'phui-timeline-image visual-only',
           'href' => $this->userHandle->getURI(),
         ),
         '');