Hi Austin and Christer,
Option clicking and control clicking something, can indeed be done using the 
trackpad, and it isn't a problem for voiceover users, although it is, with some 
other screen readers. 
1. With the vo cursor, find the element that you want to option or control 
click on.
2. Now, tell voiceover to get the mouse pointer over to this spot on the 
screen, using command vo f5. vo is the same as control option. So, the complete 
command to get the mouse pointer to where your voiceover cursor is, is to hold 
down 3 keys, being option, control and command, and then pressing f5.
3. Once the mouse is there, Perform the control, or the option click, as 
follows. First hold down either option or control, depending on what you need, 
and then press on the lower left corner of the trackpad to make the click 
happen.

If a sighted user wants to click on something, they do it with the mouse 
button. The left one, in windows. To do the same thing in voiceover, with the 
voiceover cursor on an object, we can hit vo space to perform the normal click. 
However, voiceover does not have a built-in command for an option click or a 
control click. That is why we need to do the same thing as a sighted user 
would, rather than having a dedicated voiceover command for it. Bring the mouse 
pointer to the spot, hold control or option, and while holding it, click the 
mouse, or the trackpad.
On Oct 5, 2011, at 6:54 AM, Austin Seraphin wrote:

> I searched and found someone asked this before. How do you option-click a 
> button? Ricardo mentioned turning the Trackpad commander off and clicking 
> while holding down the option. I tried that and just got the desktop, or more 
> likely whatever random object over which my finger sat. So does anyone know 
> how to option-click a button? Thanks.
> 
> - Austin
> 
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