Preeclampsia is a multisystem progressive disorder characterized by the presence of hypertension, edema, and proteinuria that presents after 20 weeks of gestation [1]. Serous retinal detachment is a rare complication of preeclampsia affecting 1–2 % of patients [2]. This disorder causes symptoms like vision loss, scotoma, visual obscuration, and even cortical blindness [3], [4]. The signs observed in the fundus due to hypertension in preeclampsia include retinal vascular changes, such as severe arteriolar spasm and retinal edema and detachment, hemorrhages and exudates, cotton-wool spots, and retinal pigment epithelium (RPE) lesions (Elschnig spots) [5], [6], [7]. This study aimed to evaluate the clinical characteristics of serous retinal detachment in preeclampsia using spectral-domain optical coherence tomography (SD-OCT). In most previous studies, optical coherence tomography (OCT) images were analyzed for a particular case. In this study, the OCT images of the retinas of 16 women with preeclampsia were compiled and assessed to guide the diagnosis and treatment of serous retinal detachment in preeclampsia.