Designing an accessible computer application for the visually impaired has gained popularity among the researchers over the years. Many researches focus on creative usage of multimedia design elements in extending computer accessibility for users with these special needs. Multimedia design elements plays an important role in the design of any application, be it a mobile application, stand alone computer application, online web applications and many more. A designer acquires knowledge of designing through established standard guidelines and past literatures related to accessibility to produce user-disable friendly computer applications. Despite the constant effort from the designers, visually impaired users are still struggling to access and to use computer applications. Major reason to this scenario is not the fault of a designer but the gap in current state of art is to be criticized. A clear reflection on current state of art was not portrayed all this while leaving uncertainty among the designers in utilizing effectively the design elements in designing an application. Thus, this paper serves as a complete review in analyzing the findings of past literatures as well as established accessibility guidelines relating to visually impaired computer users. About 80 published articles were used to generate this paper. An analysis on the latest literatures has revealed that there exist lists of mandatory and optional elements in considering a design. These finding identifies the gap in current state of art and creates opportunity for future work. © 2005 � ongoing JATIT & LLS.