Students with visual impairments face unique challenges that extend beyond academic limitations to include significant barriers in physical education (PE). This study examines the prevalence of common eye disorders such as myopia, astigmatism, hyperopia, and strabismus in university students, and investigates adaptive strategies for their effective inclusion in PE programs. A comprehensive cohort of 175 students with ophthalmologically diagnosed vision problems was analyzed. The study assessed physical performance, social participation, psychological impact, and educator preparedness. Data gathered through ophthalmic screenings, fitness assessments, and surveys suggest that tailored interventions, environmental modifications, and educator training dramatically improve student engagement, safety, and outcomes in PE. The findings support a multidisciplinary, inclusive approach to PE that promotes equity, well-being, and academic integration for visually impaired students.