This study delves into the potential of harnessing the orbital angular momentum (OAM) property of electromagnetic waves in near-field and line-of-sight scenarios by utilizing large intelligent surfaces, in the context of holographic multiple-input multiple-output (MIMO) communications. The paper starts by characterizing OAM-based communications and investigating the connection between OAM-carrying waves and optimum communication modes recently analyzed for communicating with smart surfaces. Subsequently, it proposes implementable strategies for generating and detecting OAM-based communication signals using intelligent surfaces and optimization methods that leverage focusing techniques. Then, the performance of these strategies is quantitatively evaluated through simulations. The numerical results show that OAM waves while constituting a viable and more practical alternative to optimum communication modes are sub-optimal in terms of achievable capacity.