The aim of this report was to characterize a case of a canine eosinophilic folliculitis with papular, ulcerative and crusting dermatitis on the nasal bridge, papules on eyelid and pinna, with. Researchers have suggested that it can be considered the most “under-diagnosed, undertreated and underappreciated eye disease worldwide. Blepharitis is a common eye disorder. Betamethasone can be used to treat moderate-to-severe eczema or psoriasis. 11 Biopsy of eyelid convert 08. H10. This is usually done with an antimicrobial shampoo that is applied to the coat. Eyelid is then everted with special clamp and incision is made through conjunctiva. Dogs have eyelashes only on the upper lid and cats lack upper and lower eyelashes. 11,40,100,124,205 Affected cats have bilateral, incomplete development of the upper lateral eyelids (Figures 29-16 and 29-17. This hair follicle mite is the only metazoan organism commonly found in the pilosebaceous components of the eyelid of humans. The turning inward (inversion) of the edge of the eyelid, with the tarsal cartilage turned inward toward the eyeball. It is sometimes spelled. Most of them are localized at presentation and does not involve other organs. Conjunctivitis. Affect children and adults, especially middle-aged women. The conjunctiva is a thin, clear tissue that covers the inside of the eyelids and lies above the sclera (the white area) at the front of the eyeball. 0 0. 5 mm in diameter. Methods: One hundred two eyes of 102 patients with symptomatic Demodex blepharitis were divided into 2 groups according to the use of. Overview Possible Causes Care and Treatment When to Call the Doctor Additional Common Questions. Characteristic signs and symptoms include eyelid margin itchiness and redness, and flakes or crusts in the lashes. Blepharitis. But it isn’t contagious, and it usually doesn’t cause any lasting damage to your eyes. 08. But Demodex can multiply too quickly in people who are immunocompromised or have other skin conditions. 5 mm in diameter. Thus, the objective of this review is to evaluate the efficacy and safety of. Sometimes, bacteria get. The incidence of infestation increased with age; 84% of all cases and 100% of cases over age 70 years were. Treatments for folliculitis depend on the type and severity of your condition, what self-care measures you've. Corticosteroids to reduce swelling in the blood. A child with diabetes or weak immune systems is more at risk. . Cosmetics/makeup (mascara, eyeliner, eye shadow and/or sunscreen). This phase lasts 2 to 3. Find the perfect folliculitis stock photo, image, vector, illustration or 360 image. Palmitic acid. Other times, it may result from an over-population of microscopic mites living inside the eyelash follicles. “A healthy eyelid helps produce healthy follicles and therefore healthy strands,” says Engelman. H01. In follicles the vessels are seen at the periphery of each follicle, while in papillae the ves-sels are seen in the centre. A chalazion, like a sty, is a swelling within the eyelid caused by inflammation of an oil gland. When the eyelids are inflamed due to Meibomian gland dysfunction for long periods of time, the eyelash follicles can be disrupted causing the eyelashes to grow in the wrong direction. 1 . If, for some reason, the eyelash hair follicles are. Symptoms include itching, burning, and photophobia. Such follicles contain oil glands. A stye is usually caused by a staphylococcal infection. Blepharitis is an inflammation of the hair follicles along the eyelid margin. Blepharitis. 08. . Pain of Ocular and Periocular Origin. This is the American ICD-10-CM version of L73. Anterior blepharitis affects the eyelid skin, base of the eyelashes, and. Mar. 113 Allergic dermatitis of right eye, unspecified eyelid. Without treatment, scalp folliculitis can spread to hair follicles in the center or back of the head. Large conjunctival follicles located at the upper margin of the cornea may leave depressions known as 'Herbert's pits' which are pathognomonic for trachoma. The pilosebaceous unit of the follicle is divided into three compartments: the infundibulum (superficial part, outlined by the sebaceous duct), the isthmus (between the sebaceous. Eyelid folliculitis: infection and inflammation of one or more hair follicles on eyelid. Another classification describes deep and superficial chalazia. Other less frequent tumors include adenocarcinomas, fibrosarcomas, neurofibrosarcomas, and basal cell carcinomas. Symptoms of Eyelid Tumors in Cats. A yellowish to brown color of your skin on the eyelids and other body areas may be perfectly normal for you. acneiform eruption, and purpura. It is commonly due to infections of the eyelash follicular gland (external stye), but can also be due to infections of meibomian glands. The infections can occur anywhere on the skin where there is hair. "Hot tub folliculitis" is a type of folliculitis that is caused by certain bacteria that can grow in a hot tub or whirlpool. Although there are no dog breeds genetically predisposed to folliculitis, dogs prone to allergies are at a greater risk of developing this condition. The warm cloth is then applied and compressed on the skin, wound, or other site. Observation of the arachnid Demodex folliculorum has been reported since 1840. With its numerous appendages and glands, the eyelid protects the eye from the external environment and helps maintain the. A swollen eyelid is often a symptom of another medical condition, including: Allergies. Be sure to remove any excess oil. It inflames the eyelash follicles along the edge of the eyelid, forming dandruff-like scales on the eyelashes. This blockage causes inflammation of the gland, which makes the eyelid swell and redden. Most eyelid bumps are due to a bacterial infection of a gland in the eyelid that produces oil to lubricate the surface of the eye or the follicle of an eyelash. Excessive blinking or squinting. Usually found on an eyelid, behind the ear, on a cheek or jaw. The types of bacteria that can cause it to include: Staph infection; MRSA (a type of staph infection that’s more difficult to treat because of its resistance to antibiotics); The bacteria that cause strep throat; The bacteria that cause pneumonia; A bacteria in the flu family;. Bringing heat and moisture to certain conditions may help. Synonyms: abnormal keratinization of hair follicle, acne with gram negative. Protopic. It is also unsightly. stinging. A, In papillary conjunctivitis, the conjunctival epithelium (checkered blue) covers fibrovascular cores with blood vessels (red), and the stroma contains eosinophils (pink circles), lymphocytes, and plasma cells (blue circles). 4 may differ. are losing your lashes, follow up with your surgeon. A bump can erupt as a result of folliculitis or bacterial infections on the eyelash line or waterline. Many of the lesions may have pustules centrally. 20 Other cutaneous adverse effects include folliculitis, periocular dermatitis, delayed wound healing,. They’re about a third of a millimeter long and clear, making them. A useful distinguishing feature between follicles and papillae is the location of the blood vessels. When an eyelid tumor is small, it may be difficult for you to spot it on your cat, however as it grows larger, it becomes more obvious and starts to interfere with the cat’s blinking as well. When you have a sty in eyelids there is an infection of the hair follicles (. The greatest absorption occurs through the thin skin of eyelids, genitals, and skin creases when a potent topical steroid is best avoided. Folliculitis describes infection that originates within a single hair follicle, usually caused by a bacterial infection with Staphylococcus aureus. eye redness. Histology: Perifollicular granuloma; several follicular mites detectable. This article covers the causes, symptoms, and treatments. Rubbing or scratching. Eosinophilic pustular folliculitis (EPF) is a skin disorder characterized by recurring itchy, red or skin-colored bumps and pustules (bumps containing pus). When oil glands or hair follicles get clogged by. The patient's eyelids typically itch or burn, become reddened, and are often characterized by accumulations of waxy or gelatinous debris at the base of the eyelashes. Irritation of a hair follicle causes inflammation in the area, leading to swelling, redness, itchiness, pain, and other skin lesions. In recent years, two of these drugs—Protopic (tacrolimus ointment) and Elidel (1. Follicular conjunctivitis is an eye condition that primarily affects young dogs, under 18 months of age. Apply a warm washcloth over your eyelids for 10 to 15 minutes, at least three to five times daily. Scars in the eyelid or facial nerve paralysis may. •Folliculitis affects the openings. Bacterial skin infections External hordeola (stye, infection of the eyelash follicle, usually caused by staphylococcus bacteria ) Internal hordeola (infection of the meibomian gland). The edges of your lids turn red or dark in color and become swollen and scaly. Other symptoms of folliculitis include: clusters of pus-filled or crusty sores. Initial symptoms are conjunctival hyperemia, eyelid edema, photophobia, and lacrimation. 5 mm in diameter. Demodex (Face Mites) Demodex is a type of mite that lives in human hair follicles, usually on your face. Other symptoms of folliculitis include: clusters of pus-filled or crusty sores. Folliculitis, furuncles, and carbuncles are skin infections caused by bacteria. Oil and bacteria coat the edge of the eyelid, near the base of the eyelashes. The most common are: Squamous cell carcinoma (SCC) - most common in non-pigmented skin (white cats) and can appear pink, irregular and sometimes ulcerated and involve the conjunctiva, eyelid or third eyelid. The lesion appeared as a flesh-colored,. Food and Drug Administration (FDA) for the treatment of moderate to severe eczema (atopic dermatitis). This type of causes itchy red patches and greasy scales on your skin along with white or yellow crusty or powdery flakes on your scalp. 0% pimecrolimus cream)—have been used off-label to treat. This pseudo-eyelid had several black, pinpoint follicular lesions with soft hairs projecting from the surface [Figure 1]. (Modified from Evans HE [1993]: Miller’s Anatomy of the Dog. 3 More than 98% of styes are caused by Staphylococcus aureus. Tinea barbae causes inflammation of hair follicles (folliculitis). Three of these diseases are together known as the follicular occlusion triad. AOA recommends warm soaks of the eyelids as one of the top self-care measures for addressing eyelash mites. A stye is a sore and red lump near the edge of an eyelid. Your provider may suggest using lasers to remove the misdirected eyelashes of trichiasis. Avenova. Without treatment, scalp folliculitis can spread to hair follicles in the center or back of the head. “Seborrheic” refers to the “sebaceous” glands while “derm” means “skin. Numerous hair follicles were part of the normal tissue structure (Figure 1B). Blepharitis is inflammation of the eyelids. The result is a painful lump on the edge of your eyelid. It is due to chronic irritation of the conjunctiva inside the eyelid, usually from contact lenses. There may be lid thickening, loss of lashes (madarosis), conjunctival inflammation and decreased vision. In certain cases, your doctor might use a swab to collect a sample of the oil or crust that forms on your eyelid. They may be red or purple, and the skin may seem inflamed and feel tender. Because they can be painless and often start off very small, many people do not. Follicles have a larger appearance than papillae, and have a white central core since they are really. Acute follicular conjunctivitis is. Use anti-dandruff shampoo on the scalp. A staphylococcal bacterial infection is the most common culprit for this anterior blepharitis. Most ocular lymphoma occurs in old age (5,6),and almost all of them are low. Symptoms and signs include itching and burning of the eyelid margins with redness and edema. Answer: Eyelid rash or infection after laser resurfacing regardless of cause, if an eyelid rash whether infected or not, is not improved and swelling increases with or. Topical antifungal agents: applied to reduce Malassezia e. Tests and procedures used to diagnose blepharitis include: Examining your eyes. Dermatitis (eyelids) Dermatitis (face). When done, rinse your eyelids and lash line with warm water to remove the baby shampoo residue. Bernard, and several Spaniel breeds. People with diabetes and those with a compromised immune system (such as from HIV/AIDS , chronic diseases, cancer , systemic chemotherapy, and immune-suppressing drugs) may. Treating eyes and eyelids can bring quick relief to patients, many of whom have suffered from Demodex mites, blepharitis,. In this stage, your eye is now highly infectious and becomes irritated, with a thickening or swelling of the upper. If your cat has entropion, you will be taking up slack skin, rather than dragging on the eyelid, so it will be more difficult to expose the inner pink lining of your cat's eye. There were 10 to. The red eyelids affect their appearance, which is distressing. Allergies. do not blink, as this draws eye drops into the tear duct and out of the eye. The early infection has five or more follicles — small bumps that contain lymphocytes, a type of white blood cell — visible with magnification on the inner surface of your upper eyelid (conjunctiva). Antibiotic eyelid creams. It’s called “dandruff. Prevalence The typical histopathologic description is lymphoid follicles in the conjunctiva, which have 3 components: Corona: the outer layer, composed of darker blue, mature lymphocytes and plasma cells. As the lash hair grows back into the skin on the eyelid rim, it can causes irritation and inflammation. occlusion, or blockage, of the follicle. Eyelids have also eyelashes with curved, short hair follicles on the corner of the eyelids. Doxycycline capsules, delayed-release capsules, delayed-release tablets, and tablets and Acticlate®. Folliculitis and mild furuncles may go away with no treatment. Acute follicular conjunctivitis is. brevis), a second type, usually lives on thin,. It rarely causes more severe problems. Then, wrap the cloth around the affected area and cover it with a dry cloth or bandage. Conjunctivitis. Swollen Eyelid Causes. They have typically tried artificial tears to reduce redness, to no avail. Is most commonly sited away from the lid margin. Definition / general. Chalazion and Stye (Hordeolum) Chalazia are enlargements of an oil gland (similar to a pimple) deep in the eyelid caused by an obstruction of the gland’s opening. Styes form a bump with a small amount of pus inside. The Latin term keratosis means ‘ scaly skin’, and pilaris means ‘hair’. ” When it occurs along the inner eyelid edge it’s described as “posterior blepharitis. They eat the oil in our hair follicles. If there is a more serious cause, you may need: Antibiotics to treat a bacterial infection. An ingrown hair irritates your skin. This was the first year ICD-10-CM was implemented into the HIPAA code set. The presence of these follicles In the eyes is considered the cause of follicular conjunctivitis. Blepharitis Symptoms The condition makes your eyelids red,. Seborrheic blepharitis is often found with seborrhea of the scalp and eyebrows. Giant papillary conjunctivitis (GPC) is an allergic reaction of the eye. Signs and symptoms This uncomfortable condition causes pimples or white-headed pustules to form around the hair follicles. Keep skin moisturised. Skin conditions, allergic reactions and certain infections can cause eyelid redness. 2. Symptoms. Trichiasis ICD 10: H02. Follicular Reactions. The main treatment for blepharitis is regularly cleaning. Eyelid swelling. It's often caused by an infection with bacteria. Folliculitis causes itchy bumps that may have a red ring around them. Convert L73. Rubbing or scratching. Systemic disorders may mimic eyelid disease by causing swelling or redness of the eyelid: Dermatomyositis. Infection with a virus. A 68-year-old female presented with an asymptomatic mass on the right upper eyelid. In this article, we shall look at the anatomy of the eyelids – their layers, vasculature and innervation. This medicine works by killing bacteria or preventing their growth. An eye. If your dog has folliculitis, you should apply medication to their skin to get rid of the infection. Background. Often, eyelash pain is due to ingrown eyelashes or eyelid inflammation. Certain groups of people are more prone to develop folliculitis. Pseudofolliculitis barbae. That causes an itchy, irritating condition called demodicosis. Eyelash mites such as Demodex folliculorum are tiny parasites that live in or near the hair follicles. Fig 1 – The upper and lower eyelid. The pustules mostly appear on the face, scalp, neck and trunk and may persist for weeks or months. Use anti-dandruff shampoo on the scalp. Infection may be stubborn and persist for months or years. Hot tub folliculitis most commonly occurs after exposure to a contaminated hot tub/spa, but it has also been reported from swimming pools, hydrotherapy pools, water parks and fresh water bodies of water (lakes, rivers, streams). Things that cause blepharitis include: Excess bacteria. Ingrown Hair. The eyelid is a complex structure, composed of skin, orbicularis muscle, tarsus, and conjunctiva. 10 - other international versions of ICD-10 D23. This product is available in the following. Folliculitis is defined as an inflammation or infection of hair follicles. The eyelid has thin skin, so it’s wise to dilute the oil to avoid a stinging sensation. We study 20 people who have Eyelid folliculitis. closed pimples. Minor Surgery: The folliculitis, which turns into a large boil or carbuncle, will be treated by the health care provider. Whirlpool folliculitis. Symptoms and Diagnosis. rinse the razor after every stroke. In a small proportion of patients, fever, fatigue, and leg pain may ensue. eyelids-protect the eyes from foreign objects-blink to move tears across the eyes' surface and sweep debris away-close in sleep to keep out visual stimuli-covered in the body's thinnest layer of skin. Seborrheic dermatitis is a common, noncontagious, easy-to-manage skin condition. They may become acutely inflamed, but unlike a stye, chalazia. In a normal eyelid, the pink lining of the eyelid will be revealed. The third eyelid may also be visibly prominent in cases of conjunctivitis. D. The 2024 edition of ICD-10-CM L66. Macules, papules, eczema, folliculitis and pigmentation have also been described. Certain. Sometimes associated with another skin disease including pseudoxanthoma elasticum , discoid lupus erythematosus , lichen planus. 100 percent concentrations of tea tree oil can cause swelling and redness. Acute follicular conjunctivitis, left eye. These tiny eight-legged eyelash bugs actually live in your hair follicles, and feed on dead skin cells and the oils in your skin. This is the American ICD-10-CM version of L66. Ocular candidiasis is a well-known complication of candidemia. 12 Discoid lupus erythematosus of eyelid. Below is a table summarizing the causes of eyelash loss and the expected time for regrowth: Folliculitis is usually caused by infection with bacteria. Periorificial dermatitis includes perioral dermatitis or periocular dermatitis alone, or in association. Folliculitis may be infectious or, less. They can occur in follicles at the base of an eyelash, or in glands on the inside of the eyelid. The center of the follicle is avascular and has blood vessels that surround the round base. For other conditions, such as mild eczema, irritant dermatitis, or dermatitis on the face, lower potency steroids, such as hydrocortisone, are usually. Massage the swollen area gently to help drain the clogged gland. Abstract. The information that eHealthMe analyzes includes: - Medications that treat Eyelid folliculitis and their effectiveness - 5 drugs that are associated with Eyelid folliculitis. Clogged glands and crust can worsen the inflammation of blepharitis. If early treatments don't clear up your infection, your health care provider may run some tests. A chalazion. illustration on isolated background. 4. Cleanse Eyelids Thoroughly . 9 - other international versions of ICD-10 L73. 019 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Symptoms and signs include itching and burning of the eyelid margins with redness and edema. It happens if the bacteria become resistant to the antibiotics and make the acne worse. eyelids that droop (or get more "hooded") as you get older. Myxoedema. In acute ulcerative blepharitis, small pustules may develop in eyelash follicles and eventually break down to form shallow marginal ulcers. 53. B, In follicular conjunctivitis, the conjunctival epithelium covers lymphoid follicles, which have a paler germinal. Sometimes, this is caused by an excess of bacteria or clogged oil glands at the base of the eyelashes. Demodex, a genus of tiny parasitic mites that live in or near hair follicles of mammals, are among the smallest of arthropods with two species Demodex folliculorum and Demodex brevis typically found on humans. These demodex mites aren't visible on the face. "Hot tub folliculitis" is a type of folliculitis that is caused by certain bacteria that can grow in a hot tub or whirlpool. They happen most often where there may be rubbing and sweating. by Shannon S. They happen most often where there may be rubbing and sweating. This topic discusses the clinical assessment of patients with scalp disorders and. Demodex mites are tiny eight-legged parasites that mostly live in hair follicles and oil glands on your face, neck, or chest. Demodex brevis (D. Squamous cell carcinomas, which are more common in white cats with noncolored eyelid edges, can involve the eyelids, conjunctivae, and the third eyelid. Blepharitis is a risk for developing styes. Acne and its variants are also types of folliculitis. Blepharitis is inflammation of the edges of the eyelids, possibly with thickening scales, crusts, shallow ulcers, or redness and swelling at the edges of the eyelids. styes, which cause swelling on the eyelids; boils; folliculitis, an infection of the hair follicles; carbuncles, deep infections of the skin and the tissue below it; infections around the nails;Ingrown Hair Symptoms. It. on October 30, 2023. Follicular cysts are a type of benign ovarian cyst caused by normal hormonal fluctuations during the menstrual cycle. Swabbing skin for testing. sensitivity to light. Thousands of new, high-quality pictures added every day. Staphylococcal bacteria are the usual culprits. Predisposing factors to ingrown hairs include; shaving, over bathing your dog or applying improper grooming techniques for your dog. These conditions commonly coexist. H01. Eyelid scrub: Following a warm compress, a scrub of the eyelid can help remove bacteria and debris. Joseph, M. 374. It can be used twice daily and applied directly to affected. Styes are caused by a bacterial infection in an oil gland or hair follicle on your eyelid. Folliculitis is an inflammation or infection of the hair follicles that can develop into a boil. 012 may differ. The hair follicle embeds in the dermis of the eyelid (which has two layers, epidermis and dermis, as opposed to the scalp which has an epidermis, dermis and a hypodermis). 8 is a billable diagnosis code used to specify other specified follicular disorders. Chemotherapy, radiation, immunotherapy or bone marrow transplant to treat leukemia. The surface ectoderm gives rise to the eyelid skin epithelium, conjunctival, hair follicles and accessory glands. You can have folliculitis on your face, arms, back and legs. Symptoms of Demodex mites on the eyelashes may include: itchiness in the eyelashes and surrounding skin. A cut, scratch, or insect bite near the eye. If your dog has folliculitis, you should apply medication to their skin to get rid of the infection. Use clean, sharp razors and shave in the. Symptoms of inflammation include: itchy eyelids swollen eyelids red or inflamed eyelids a burning sensation in the eyes oily eyelids a feeling that something is. These mites usually live on the face, including the eyelids and. The 2024 edition of ICD-10-CM L73. Apply the ice pack for 10 to 15 minutes several times daily. Annie Summers. Negative side effects of waxing can include uncomfortable problems like pain, ingrown hairs, breakouts, and infected hair follicles. Try Wet Wraps. Perforating folliculitis. Candida is a yeast (a type of fungus) that lives on the skin and can cause an infection. Disease. L73. Suspect a meibomium cyst if there is a firm, painless, localized eyelid swelling that has developed slowly over several weeks. Acne and its variants are also types of folliculitis. The actual type of inflammatory cells can vary and may be dependent on the etiology of the folliculitis, the stage at which the biopsy specimen was obtained, or both. Trichostasis spinulosa (TS) is a relatively common but underdiagnosed disorder of the pilosebaceous follicles in which there is follicular hyperkeratosis of a dilated hair follicle with retention of telogen hairs. The bumps may look similar to acne and may contain pus. Folliculitis means an inflamed hair follicle due to any cause. When they die, they decompose in your hair follicles or sebaceous glands. A probe is used on the inner surface of the eyelid where the hair follicles are present. Damaged. sutures (stitches from surgery) Without GPC, the inside of your eyelid is very smooth. Two and a half weeks after periorbital laser resurfacing, I developed a horrible case of folliculitis on the eyelid and under the eye of the most aggressively treated eye. Folliculitis refers to inflammation of the superficial or deep portion of the hair follicle. Blepharitis can be uncomfortable. The 2024 edition of ICD-10-CM H10. acneiform eruption, and purpura. These microscopic mites feed off dead skin cells around the hair follicles on your eyelids. 1 /12. Up to 70% of blepharitis cases may be due to Demodex infestation. Reply. Symptoms. The second eye typically becomes involved one or two days later. This can help soften the sebum and promote drainage and healing. The eyelids become irritated, red, and swollen and may burn and itch. 11 to ICD-10-PCS. In this stage, your eye is now highly infectious and becomes irritated, with a thickening or swelling of the upper. Folliculitis and mild furuncles may go away with no treatment. 4, 41 Complete coverage of the eyelash base by the tea tree oil lid cleanser is necessary to be effective so that mites are unable to lay eggs and hatch. Mild to moderate erythema of the palpebral or bulbar conjunctiva, follicles on eyelid eversion and lid oedema. •A grid like pattern of multiple red papules and or pustules on hair-bearing areas of the body may occur. Based on the anatomical position, there are 2 eyelids in an eye: the upper eyelid and the lower eyelid. The bumps look the same (uniform) throughout your upper body. Enlarged follicles can be found on the eye’s conjunctiva. It is a localized bump on the eyelid (upper or lower), caused due to infection and pus formation in one or more glands. The red eyelids affect their appearance, which is distressing. This form of conjunctivitis is the most common type of infectious conjunctivitis. Hormone problems. 4The hair follicle embeds in the dermis of the eyelid (which has two layers, epidermis and dermis, as opposed to the scalp which has an epidermis, dermis and a hypodermis). Styes are caused by a bacterial infection in an oil gland or hair follicle on your eyelid. In some cases, the person may report initial discomfort which then resolved. Folliculitis can occur in children or adults, but is uncommon before age 2. Early symptoms of OCP are hyperemia, discomfort, itching and discharge. Eyelash mites, or Demodex mites, are tiny parasites that live in eyelash follicles. The follicles appear as gray-white, round to oval elevations which measuring between 0. Stye. You may also experience watery eyes or blurry vision due to irritation. 1% for adults and children 16 years and older. There was no apparent associated ocular or systemic involvement. It affects the upper eyelids more commonly than lower lids because there are more meibomian (sebaceous) glands in the upper lid. While papillae are consistent with a local irritation, follicles are a sign of an immune reaction in the area. Toxic Follicular Conjunctivitis. In the past, GPC was considered to be an. Itchy, flaky, sticky or swollen eyelid. Before using tea tree oil, make sure that it is a 50 percent solution. The third eyelid (or nictitating membrane) is a mobile, protective, and glandular structure lying between the cornea and the lower eyelid in the medial portion of the inferior conjunctival sac (Figure 8-1).