Unfortunately, the big mobile browsers do not support extensions, which is a huge blow to accessibility. I think Firefox for Android is the only mainstream-ish browser that supports extensions. Apple prevents them from doing the same on iOS because it would be considered "an app store within an app", which is forbidden.
The only thing Apple allows is action and share extensions, which have to be manually activated on every single page (2-3 taps to do so — which is super user-unfriendly, esp. for PWD). It's great that Apple does a lot for accessibility in general, but I really wish they would open things up a bit more so that users could customize the iOS experience to make it more accessible.
As a dev, I would be more than happy to have my code scrutinized even further in order to ensure that what we're doing doesn't create security, privacy, or performance issues. We'd just like to make our accessibility software as useful for folks on mobile as it is on desktop!