For the eyes, I suspect that Japan uses the Snellen scale, meaning 20 is "perfectly normal" and 18 is "slightly better than normal" (number higher than 20 means worse vision, but on a scale where the difference is greatest at low numbers, allowing for increasing granularity as visual acuity worsen)
Edit: This assumes the numbers are supposed to be 20 and 18 rather than 2.0 and 1.8, but if I had a nickel for every time someone has gotten a decimal point wrong when translating Japanese numbers, I'd be able to afford a cup of coffee.