October is the month when ghosts and goblins come alive. A 52-year-old male with known diabetic retinopathy was assessed after 4 months of decreased vision OS. Ocular coherence tomography (OCT) revealed a terrifying sight. The cystic changes and retinal thickening related to diabetic macular edema give the impression of a ghost rising from the patient’s fovea, a befitting image given that Halloween is rapidly approaching (Fig. 1). With anti-Vascular Endothelial Growth Factor (VEGF) therapy, this ghoul was banished, resulting in substantial visual recovery.