In supported apps, such as Notes and Photos, you can use the Markup tools to add text, shapes, stickers, and image descriptions to your images and documents.
To cut, copy, duplicate, share, or delete a text box, tap it, tap Make stickers from your photos on iPad.
In supported apps, such as Photos, you can use Markup to add descriptions to images. VoiceOver reads your custom descriptions when you use the Turn on and practice VoiceOver on iPad