ABSTRACT Underwater concrete structure crack detection and structural health condition assessment based on image processing is challenging. The complex underwater environment and severe image degradation seriously affect the accuracy of crack detection. To solve these problems, a monocular vision and image-enhanced fractal-based fractal science based on computer vision and image processing techniques are proposed to conduct a non-contact detection study of underwater concrete cracks. This study established a four-level structural health condition to assist in underwater crack measurement and safety assessment. The box-counting method was used as a practical tool to calculate the fractal dimension. Three distances of 0.5, 0.8, and 1.2 m were set to verify the effective distance of the algorithm. The results show that the method proposed in this study can effectively detect cracks in submerged concrete members within 0.6 m and help managers correctly determine the structure's health using the fractal dimension.