• Acute PVD symptoms → dilated exam with scleral depression within 24 h; ~10–15% with acute symptomatic PVD have a retinal tear.
• Shafer sign (pigment in anterior vitreous) strongly predicts a break.
• Macula-on RRD: urgent same/next-day repair. Macula-off: within days (prognosis tied to duration).

Options: pneumatic retinopexy (single superior break), scleral buckle (young phakic, dialysis), vitrectomy (pseudophakic, complex, PVR).