Structural health monitoring is currently a crucial measure for the analysis of structural safety. As a structural asset management approach, it can provide a cost-effective measure and has been used successfully in a variety of structures. In recent years, the development of fiber optic sensing technology and vision sensing technology has led to further advances in structural health monitoring. This paper focuses on the basic principles, recent advances, and current status of applications of these two sensing technologies. It provides the reader with a broad review of the literature. It introduces the advantages, limitations, and future directions of these two sensing technologies. In addition, the main contribution of this paper is that the integration of fiber optic sensing technology and vision sensing technology is discussed. This paper demonstrates the feasibility and application potential of this integration by citing numerous examples. The conclusions show that this new integrated sensing technology can effectively utilize the advantages of both fields.