diff --git a/configuration.c b/configuration.c
index 3ebfd1340d..5afa238e5e 100644
--- a/configuration.c
+++ b/configuration.c
@@ -70,7 +70,7 @@
 #include "switch_performance_profiles.h"
 #endif
 
-#if IOS
+#if __APPLE__
 #include "ui/drivers/cocoa/apple_platform.h"
 #endif
 
@@ -2880,7 +2880,7 @@ void config_set_defaults(void *data)
    load_timezone(settings->arrays.timezone);
 #endif
 
-#if IOS
+#if __APPLE__
    configuration_set_bool(settings,
          settings->bools.accessibility_enable, RAIsVoiceOverRunning());
 #endif
diff --git a/ui/drivers/cocoa/apple_platform.h b/ui/drivers/cocoa/apple_platform.h
index 72316c79e3..d50323971c 100644
--- a/ui/drivers/cocoa/apple_platform.h
+++ b/ui/drivers/cocoa/apple_platform.h
@@ -1,10 +1,7 @@
 #ifndef COCOA_APPLE_PLATFORM_H
 #define COCOA_APPLE_PLATFORM_H
 
-#if TARGET_OS_IPHONE
-/* this comes from UIKit but you cannot #include UIKit from C */
 extern bool RAIsVoiceOverRunning(void);
-#endif
 
 #if TARGET_OS_TV
 #include "config_file.h"
diff --git a/ui/drivers/cocoa/cocoa_common.m b/ui/drivers/cocoa/cocoa_common.m
index f82d995dfb..3422ef7dde 100644
--- a/ui/drivers/cocoa/cocoa_common.m
+++ b/ui/drivers/cocoa/cocoa_common.m
@@ -62,6 +62,14 @@ extern bool RAIsVoiceOverRunning(void)
 {
    return UIAccessibilityIsVoiceOverRunning();
 }
+#elif OSX
+#import <AppKit/AppKit.h>
+extern bool RAIsVoiceOverRunning(void)
+{
+   if (@available(macOS 10.13, *))
+      return [[NSWorkspace sharedWorkspace] isVoiceOverEnabled];
+   return false;
+}
 #endif
 
 #if defined(HAVE_COCOA_METAL) || defined(HAVE_COCOATOUCH)