Conveyor belts are critical equipment in mining operations, where continuous and reliable material transport is essential for production efficiency. This systematic review aims to analyze computer vision-based techniques applied to conveyor belt condition monitoring. Following PRISMA guidelines, a search was conducted in the Scopus and Web of Science databases, and 80 studies were selected after applying predefined eligibility criteria. These studies were synthesized through quantitative bibliometric methods and structured qualitative thematic categorization. The findings reveal a significant increase in scientific output after 2020, as well as its geographic distribution and potentially the most influential contributions. The main research lines focus on damage detection, deviation detection, and foreign object detection. A clear transition is also observed from traditional image processing methods—such as filtering, segmentation, and geometric analysis—toward deep learning models, including YOLO, CenterNet, and hybrid architectures, with improvements in precision, speed, and stability. Nevertheless, challenges remain related to datasets representativeness, the heterogeneity of evaluation protocols, and variability in operational conditions. Finally, opportunities for advancement are identified through multimodal datasets, adaptive models, and lightweight solutions that facilitate integration into asset management systems and support scalable industrial adoption.