The Kobo Glo HD I used for a year did have more settings etc. But I ended up rarely use most of them. For flat out reading, it was no better or worse than most of the front lit Kindles I've owned.
When my vision issues make reading more of a challenge, a wider line spacing works for me more effectively than using a larger font. More white space=better contrast, at least for me.
Most of my "complaints" about e-readers stem from poor formatting of the book itself. It's not a device problem, unless devices could be developed to fix those issues with a book already on the device. Mostly I'm talking about huge white spaces between chapters or paragraphs, or off balanced margins, OCR that hasn't been proofread, huge drop caps, etc.
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