Preeclampsia is a multisystem complication of pregnancy characterized by new-onset hypertension and proteinuria. We report the case of a 37-year-old primiparous woman with severe preeclampsia who developed bilateral SRD and pulmonary edema that required intubation and intensive care. After delivery, complete resorption of retinal serous detachment in both eyes was noted and visual acuity was restored in the left eye in six months follow-up. The preeclampsia pathogenesis results from systemic ischemia and choroidal arteriolar vasospasm. Secondary damage of the retinal pigmentary epithelium leads to fluid transudate and SRD. In this patient, preeclampsia-associated SRD spontaneously resolved within weeks of delivery.