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Explore a comprehensive conference presentation that systematically examines the accessibility and security challenges in authentication methods for blind and visually impaired users. Learn about the Authentication Literature Evaluation for Security and Accessibility (ALESA) framework, which consists of 5 accessibility and 8 security features designed to measure how well authentication schemes serve users with visual impairments. Discover findings from the evaluation of 37 general-purpose academic authentication schemes and 13 schemes specifically designed for blind and visually impaired users, categorized by their underlying user interaction methods. Understand how many current authentication methods fail to balance accessibility and security, often creating security vulnerabilities through accessibility challenges, particularly in screen reader-assisted scenarios. Gain insights into the critical gaps between advanced authentication research and the practical needs of blind users, and explore the urgent need for researchers, developers, and policymakers to develop truly secure and accessible authentication solutions for the visually impaired community.