Context: Investigating parameters related to physical capacities, muscular imbalance between the limbs, and injury reports in judo athletes with vision impairments (VI) is something extremely relevant for competitive performance, especially considering the absence of vision, which can be a determining factor in these aspects. For this, this study aimed to explore the interlimb asymmetry and bilateral strength index in upper and lower limbs in judo athletes with VI and describe the injury reports and the association with the muscular imbalance. Design: A cross-sectional study. Methods: Eighteen judo athletes with VI participated in this cross-sectional study. Athletes performed the following physical tests: handgrip strength, countermovement jump, and medicine ball throw. All tests were performed unilaterally and bilaterally to calculate the interlimb asymmetry and the bilateral strength index. After this, an injury questionnaire was applied, considering injuries that occurred in the previous 6 months. Student t tests and chi-square tests were used to compare groups and test the associations between injury reports, adopting the level of 5%. Results: The results demonstrated that performance was higher for male compared with female athletes (P < .05) and asymmetry was influenced by sex (higher for male; P < .05) and the origin of the impairment (higher for acquired; P < .05). Furthermore, the bilateral strength deficit was more present in injured groups (mainly in medicine ball throw and countermovement jump). Finally, the most common mechanism of injury was direct contact with another athlete. Conclusion: Muscle imbalances were identified in male and female VI judo athletes and seem to be related to injury reports.