The critical role of alternative text (alt text) in making digital content accessible to individuals with visual impairments has long been recognized. For users of Microsoft Word and PowerPoint, the ability to add descriptive alt text to various non-textual elements—from images and charts to shapes and SmartArt—is a fundamental feature designed to enhance inclusivity. However, the journey of this alt text from the source document to a universally accessible PDF format has historically been fraught with challenges. A recent, extensive analysis has shed light on the varying degrees of success and notable shortcomings encountered when converting Word and PowerPoint files to PDFs using different popular tools. This report delves into the findings of this comprehensive testing, offering crucial insights for content creators, accessibility advocates, and software developers aiming to bridge the digital divide.
The study, which meticulously examined over 100 test cases across Word and PowerPoint, and subsequently converted these into three distinct PDF formats, revealed significant discrepancies in how alternative text is preserved. The conversions were performed using Adobe’s Acrobat PDFMaker (integrated via the Acrobat tab on Windows), Adobe’s Create PDF cloud service (accessible through the Acrobat tab on Mac), and Microsoft’s native PDF exporting feature (Save As PDF). With more than 400 individual checks conducted, the results highlight a clear hierarchy of effectiveness, with Microsoft’s built-in PDF export emerging as a surprisingly robust contender, while Adobe’s offerings, despite their long-standing prominence, presented more consistent issues with alt text integrity.
Alt Text Implementation in Word and PowerPoint: A Unified Approach
Before delving into the conversion process, understanding how alt text is applied within Word and PowerPoint is essential. The process is designed to be user-friendly and consistent across various object types. Users can select any object—be it an image, a shape, or a chart—and a contextual "Format" tab (e.g., "Shape Format" for shapes) will appear in the ribbon. Within this tab, an "Alt Text" option is readily available. Alternatively, users can right-click on the object and select "Edit Alt Text" from the context menu.
Upon selecting the alt text option, a dedicated pane appears, offering a field for users to manually enter descriptive alt text. This pane also includes a checkbox to mark an object as "decorative," indicating that it does not convey essential information and can be skipped by screen readers. Depending on user settings and the software version, options to generate AI-assisted alt text may also be present, aiming to provide a starting point for descriptions.

For enhanced efficiency, Microsoft has integrated an "Accessibility Assistant" within its applications. This feature proactively identifies potential accessibility issues, including missing or inadequate alt text. By navigating to the "Review" tab, users can launch the Accessibility Assistant, which then groups detected issues. Focusing on the "Images" category within the assistant allows users to systematically address alt text for each image, often presenting AI-generated suggestions for review and approval.
Furthermore, Word offers an "inline prompts" feature for accessibility fixes, which can be enabled through the "File" tab > "Options" > "Ease of Access" (on Windows) or "Preferences" > "Accessibility" (on Mac). Once activated, a small icon appears next to elements requiring accessibility attention, such as images lacking alt text. Clicking this icon opens a dialog box, enabling users to add or modify alt text, approve AI-generated descriptions, or mark content as decorative, streamlining the correction process directly within the document flow.
A critical point to note, particularly when using the Alt Text pane or the inline prompts, is the necessity to explicitly save changes. Unlike the automatic saving behavior of some other panes, modifications made to alt text in these dialogs require the user to click "Close" (Windows) or "OK" (Mac) to ensure they are permanently applied to the document.
Microsoft’s Built-in PDF Conversion: A Surprising Performer
Microsoft’s recent advancements in PDF accessibility, announced in late 2024, have significantly altered the landscape of document conversion. Historically, Adobe’s Acrobat tab was the benchmark for creating PDFs with well-structured and easily reviewable content within Acrobat. However, Microsoft’s updated PDF export functionality has demonstrated remarkable improvements, in some instances matching and even surpassing Adobe’s offerings in alt text preservation.
The study found that when using Microsoft’s "Save As PDF" or "Export as PDF" features, alternative text is maintained for nearly all image types. The only notable exception identified was emoji, which often failed to retain their associated alt text. This is a substantial leap forward, reflecting Microsoft’s commitment to enhancing the accessibility of its document formats.

However, the conversion process is not entirely without its quirks. While the alt text itself is generally preserved, extraneous information is frequently appended to it. For instance, the type of image—such as "Arrow," "Circle," or "Rectangle"—is often automatically added to the user-defined alt text. While this might seem helpful in some contexts, it can lead to redundancy and confusion. Imagine a two-way arrow shape with the user-defined alt text "Two-way communication." In a PDF generated by Microsoft’s tool, this could appear as "Two-way communication (Arrow: Left-Right)," introducing unnecessary verbosity. This issue appears to stem from the conversion process appending default descriptive tags to the user’s input, a behavior that, while understandable from a technical standpoint, detracts from the clarity and conciseness of well-crafted alt text.
Adobe’s Acrobat Tab: A Mixed Bag of Results
The conversion of Word and PowerPoint files to PDFs using Adobe’s tools, specifically the Acrobat tab, yielded more varied and often less favorable results concerning alt text preservation. The functionality of the Acrobat tab differs based on the operating system. On Windows, it relies on Acrobat PDFMaker, a component installed alongside Adobe Acrobat. On Mac, it utilizes Adobe’s "Create PDF" cloud service. While these two mechanisms produce distinct PDF outputs, they share a common drawback: a tendency to lose or corrupt alt text during the conversion process.
The "Picture" Workaround: A Strategy for Robust Alt Text Preservation
In light of the inconsistencies observed with Adobe’s conversion tools, a critical workaround emerged from the testing: converting objects to "Pictures." In Word and PowerPoint, a "Picture" is a distinct object type that includes photographs and most images pasted from external sources. The key indicator that an object is a "Picture" is the appearance of the "Picture Format" tab in the ribbon when it is selected.
Objects designated as "Pictures" consistently retained their alternative text when converted to PDFs using both Acrobat PDFMaker and the Adobe cloud service. This suggests that treating all non-textual elements as "Pictures" before conversion can be a reliable strategy for ensuring alt text integrity.

To convert an object to a Picture, users can employ a copy-and-paste method. On Windows, after copying or cutting the object, users can paste it back into the document using the "Paste Special" option, found under the "Home" tab. Selecting "Paste Special" and then choosing "Picture (Enhanced Metafile)" or a similar picture format ensures the object is treated as an image. On Mac, the process involves copying the object, then accessing the "Edit" menu (or selecting the "Insert" menu) and choosing "Paste Special." From there, users select a "Picture" file type.
It is important to note that this workaround is not universally applicable. Certain objects, such as audio and video files, cannot be effectively converted into pictures without losing their primary functionality and purpose. Moreover, converting an object to a Picture renders it uneditable in its new format. Therefore, it is advisable to perform this conversion on a duplicate version of the file as a final step before generating the PDF.
A crucial detail regarding this "Picture" conversion method is that the original alt text is lost during the paste operation. To circumvent this, users should first copy the image, then paste it as a picture, and subsequently copy and paste the original alt text into the new picture object’s alt text field before deleting the original object. This multi-step process ensures that the descriptive information is not lost.
Gotchas and Quirks Across Different Image Types
Beyond the general observations, the analysis uncovered numerous specific "gotchas" and pitfalls associated with preserving alt text for various object types during PDF conversion. While an exhaustive list of every bug encountered is beyond the scope of this report, several notable patterns emerged, particularly with Adobe’s conversion methods.
- Shapes: As mentioned, shapes often have their type appended to the alt text. For complex shapes with many variations (e.g., over 150 types of arrows), this can lead to overly long and descriptive alt text that can be cumbersome for screen reader users.
- SmartArt Graphics: These graphics, which are designed to illustrate hierarchical or organizational relationships, frequently lose their alt text entirely or have it severely corrupted during conversion. The intricate structure of SmartArt appears to pose significant challenges for conversion tools.
- Charts: While some basic charts might retain their alt text, more complex charts, especially those with multiple data series or custom formatting, often suffer from alt text loss or misassociation. The descriptive information intended to explain the chart’s data and trends can become inaccessible.
- Icons: While often simple, icons can also be problematic. Their alt text may be lost, or they might be misinterpreted as decorative elements, even if they convey important meaning within the document’s context.
- Embedded Objects: Objects embedded from other applications (e.g., Excel spreadsheets within a Word document) are particularly prone to alt text issues. The conversion process may not recognize or correctly transfer the accessibility information associated with these external components.
- Mathematical Equations: Complex mathematical equations, often created using specialized editors, present a significant challenge. Their alt text can be lost, or the rendering of the equation itself may be compromised in the PDF.
- Tables: While tables are generally handled better than many other object types, issues can arise with complex table structures, merged cells, or tables containing embedded images or charts. The alt text for these embedded elements may be lost.
The prevalence of these issues was notably higher when using Adobe’s Acrobat tab, especially on the Mac platform with its cloud-based conversion service. This suggests that the underlying algorithms and parsing mechanisms within Adobe’s tools may be less adept at interpreting and transferring the rich metadata associated with these diverse object types compared to Microsoft’s more integrated approach.

In a Nutshell: Key Principles for Alt Text Success
The comprehensive analysis boils down to several key principles for content creators aiming to ensure their alt text survives the conversion to PDF:
- Prioritize Microsoft’s Native PDF Export: For documents originating in Word and PowerPoint, Microsoft’s built-in "Save As PDF" or "Export as PDF" feature is the most reliable method for preserving alt text. It demonstrates superior performance across a wide range of object types, with emoji being the primary exception.
- Leverage Accessibility Features: Utilize the Accessibility Assistant and inline prompts within Word and PowerPoint to systematically identify and correct missing or inadequate alt text. These tools streamline the process and ensure a higher level of accuracy before conversion.
- Convert to "Picture" for Adobe Conversions: If using Adobe’s PDFMaker or cloud services is a necessity, convert non-textual elements to "Pictures" before generating the PDF. This workaround, while requiring extra steps, significantly enhances the likelihood of alt text preservation. Remember to apply the "copy-paste alt text" strategy to avoid losing descriptions.
- Understand Object Type Limitations: Be aware that certain object types, such as audio/video, may not be suitable for alt text preservation through conversion methods. For these, alternative accessibility strategies might be required.
- Test and Verify: Always test your converted PDFs with a screen reader or accessibility checker to confirm that alt text is correctly applied and meaningful. This final verification step is crucial for ensuring true accessibility.
The implications of these findings are far-reaching. For organizations striving for WCAG (Web Content Accessibility Guidelines) compliance, understanding these conversion nuances is paramount. Relying solely on default conversion settings, particularly with older or less robust tools, can inadvertently exclude a significant portion of users from accessing critical information. The recent improvements by Microsoft signal a positive trend towards more accessible digital documents, but the persistent challenges with third-party conversion tools underscore the ongoing need for vigilance and strategic planning in digital content creation and distribution. As digital information continues to proliferate, ensuring that it is accessible to everyone, regardless of ability, remains a fundamental imperative.
