I moved to the Netherlands (much more accessible and I get to travel to places I've always wanted to see). I also started my own company, the end goal being that I hire some folks and grow it into a larger consultancy where I can work more as an IC/manager.
Before moving I spent a lot of time working with various blindness organizations in the states...they move very slowly and unfortunately I got basically nowhere before moving. Going to pick that up again here though.
I'm still working on making changes to my dev workflow, but besides a good screen reader I'm not sure much needs to change in that respect as the tools I use support screen readers.
Overall I've just focused on figuring out a longer plan for my life and focusing on achieving those goals instead of just drifting on a tech salary. This whole thing has really changed my perspective on things.