The mainstream commercial market for computer games and other multimedia products is extremely large and sighted children have a considerable experience of such games. Children who have a severe visual impairment or are blind do not have access to this important part of the youth culture, because these software are usually not accessible at all. Much of those games, containing spoken comments, with musical accompaniment and sound effects, offers rich audio contents and scenarii. Then it seems very interesting to adapt existing mainstream games for severely visually impaired children. Indeed large amount of multimedia resources can be reused. Another big interest is that it allows visually impaired children to play with the same games than their sighted peers.