What strategies do you use to improve Jones tube tolerability in patients who require CPAP therapy?

I have seen infections from CPAP in a patient who has never had surgery. Lower lid punctum plugs helped considerably. I’ve not seen this in a Jones tube patient.

I’m sure any patient manipulating the tube would be unsuccessful. Plugging the tube with anything physical is unlikely to be possible. The only thing I can think of is maybe an ointment to the corner of the eye might help. This is a really tough problem.

If the patient has only one tube, maybe a plug to the sound eye and use a unilatera...