Visual care should be an integral part of multidisciplinary care for complex diseases such as amyotrophic lateral sclerosis (ALS)- AISLA stresses. Eye pointing is the last movement that allows people with ALS, in the most advanced stages of the disease, to communicate. Since 2016, the optometric service coordinated by Dr. Federica Cozza has been active at the Nemo Clinical Center in Milan. Taking care of visual function occurs from diagnosis throughout the disease course. This has made it possible to successfully perform cataract surgery on a person who has been living with the disease since 2009, thanks to the collaboration of three teams (Nemo Clinical Centers, Nemo Lab and Fondazione Sacra Famiglia in Cesano Boscone).