WEBJul 12, 2019 · The affected skin may be red, itchy, dry, or scaly, and may also blister or peel. Symptoms may start to occur hours or days after contact with benzalkonium chloride. Some people may develop periorbital or eye dermatitis or conjunctivitis (red and itchy eyes) after the use of ophthalmic solutions containing benzalkonium chloride [1].