This is one wrinkly old bag! Of course, we are referring to the capsular bag in this cataract surgery. This is a very elderly patient, in the ninth decade of her life and her ocular tissues are quite delicate. When removing the cortex during irrigation / aspiration, the capsular bag has a tendency to flop around and it seems that the zonular support is not ideal and the anterior hyaloid face is like liquified.
Any routine maneuvers with the I/A probe tend to allow the posterior capsule to enter the aspiration port which we can see as radial wrinkles like in the photo shown here. The key to handling this situation is to keep the port away from the capsule, use a lower flow rate, and to do no harm. Leaving a slight amount of haze on the peripheral anterior capsular rim is better than risking a ruptured posterior capsule.
Click the video below to see how to deal with a wrinkly old bag:
