Cat scratch disease is a frequent but innocuous cause of chronic lymphadenopa thy in children. Numerous atypical forms have been described. We report three ca ses of acute sight impairment revealing a cat scratch disease. Background.A 13 year old boy and two girls aged 10 and 13 suffered from a sudden bilateral sigh t impairment with papillary edema, with fever in two cases. Neurological examina tions, X rays and lumbar puncture results were found normal. However, all patie nts were tested positive to Bartonella Henselae. Antibiotic and anti inflammato ry treatments were efficient in two cases. Conclusion. Cat scratch disease can be characterized by an isolated and acute sight impairment with a stellate neuro retinitis. The potency of antibiotic treatments is debatable.
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