Assuming that at some point you'll be a planted tank guru, or already are one, you'll have to make sure you feed the ottos because a well-maintained tank won't have enough algae for the otto. One guy said he had 11 ottos in one tank or something? Well, either they're all starving and somehow hanging on, or he's dropping in LOTS of algae wafers/blanched foods to make sure the constantly grazing ottos are full and happy. Hopefully the latter. If you want to avoid feeding the ottos because you have shrimp or something that will compete for the dropped foods, I'd say one otto per ten gallons of water is a good rule of thumb, maybe even fifteen or twenty gallons.
It seems that a lot of ottos hemorrhage in the gill area, and that spreads down to the abdomen. Since supposedly they're gathered in areas of high water flow/highly oxygenated water, I'd venture a guess that the gills of the ottos sometimes can't handle living in tanks with poor circulation. Then again, all plecos have the similar gill structure and seem to do fine so.. just something that you might consider when you're housing an otto. I have water pumps in both of my tanks and have not lost an otto.