My entire tank is unconventional including the cave. Most of the rock is siliconed to the back and side glass with a background I made out of lighting diffuser, lava rocks, and sanded grout.
I went with the cave mostly because my 30" tall 220 has a ~24" center brace that makes it impossible to reach the back or bottom of the tank under the brace. I can reach the 18" gravel vac to clean the sand, but not my hands to clean the glass or place corals. So the cave creates a convenient spot that is otherwise not really accessible and also provides shade to prevent algae growing there. I also don't have any dead spots that are impossible to clean. Being able to clean detritus, or lack there of, I think is one of the downsides of scapes with traditional rocks and caves.
2 years later.