Retinal tears are full-thickness defects of the retina that play a pivotal role in the pathogenesis of rhegmatogenous retinal detachment (RRD). Their occurrence is primarily linked to vitreoretinal traction, atrophic changes, or ocular trauma, manifesting in various forms including horseshoe tears, giant retinal tears, operculated tears, retinal dialysis, and atrophic holes. This chapter provides an in-depth overview of the classification, risk factors, clinical presentation, and management of retinal breaks and peripheral retinal lesions associated with RRD. Special attention is given to predisposing lesions such as lattice degeneration, vitreoretinal tufts, and meridional folds, as well as to non-predisposing conditions like paving stone degeneration and retinal pigment epithelial hyperplasia. Clinical evaluation emphasizes the importance of retinal mapping, scleral depression, and ultrasonography in diagnosing tears, especially in the context of acute posterior vitreous detachment (PVD) symptoms. Treatment strategies are tailored based on lesion type, symptoms, risk factors, and patient history, with laser photocoagulation and cryotherapy serving as primary preventive interventions. The chapter also discusses controversies surrounding prophylactic treatment of asymptomatic lesions and highlights evidence-based guidelines for follow-up intervals. By synthesizing current literature and practice patterns, this chapter aims to equip clinicians with practical insights for identifying high-risk patients, optimizing treatment decisions, and implementing appropriate surveillance to prevent vision-threatening retinal detachment.