Vision problems occur at higher rates in the deaf and hearing impaired population than in the general population. When an individual has a hearing impairment, vision becomes more significant in the instructional and learning process, as well as in social and communicative exchanges. Regular comprehensive visual screening of hearing impaired students is important. The Nevada Dual Sensory Impairment Project is a statewide initiative to screen the vision of students with hearing impairments. Procedures were developed using input from a statewide advisory committee, and the project was piloted in six schools with children ranging from age 3 to middle school age. Following the pilot, the special education administrators of Nevada's school districts were presented with a rationale for the screening project, a project overview, and lists of the responsibilities of participating school districts and project staff. Sixteen of the state's 17 districts were willing to participate, but for various reasons, screenings took place in only 10 districts. A total of 176 students from 35 schools were screened. In the six areas of vision tested, 99 instances of visual impairment were found, with some students receiving multiple referrals or recommendations. Recommendations about classroom accommodations for visual impairments were made to teachers, some of whom were unaware of certain types of visual conditions. Brief descriptions of the six screening procedures are included. (SV)