I'm also visually impaired and need to be really close to my monitor, and the arm mount works really well. I have
$1 and mount it to the side of my desk. So I can pull it closer but have room under it for my keyboard.
Does he still need the larger font size if the monitor is close? In my case, I can see fairly small sizes if I look close enough, so I don't really need large fonts since I have the arm. But all text editors have the option to change the size, so it would really just be a matter of adjusting the size to a comfortable level.
EDIT: another thing to note about the arm, you should plan where you'll mount it before buying one. For me, my desk is solid on the side so there wasn't a good spot to clamp it on (so I had to carve out a hole in my desk).