This paper explores the challenges and strengths of teachers with a visual impairments teaching in Nepal's mainstream schools, using qualitative interviews of teachers and principals, as well as a student survey data set. Results showed that teachers with visual impairments tend not to teach subjects such as science and mathematics that require frequent use of a blackboard or illustrations of formulas. Additionally, positive attitudes and good communication skills, as well as giving more social and moral lessons were reported by students as strengths of these teachers. However, due to the lack of an adequate support system, educational materials, and resources, these teachers continue to experience challenges in lesson preparation, marking students' examination papers, or teaching picture-based contents.