Blood work, normal. ct pelvis, normal. swollen spleen, testicular pain, hemorrhoids, weakness, fatigue, eye pain, unintentional weight loss, back pain?

Need more work up: None of the things you mention should be related to eye pain in my experience. See an ophthalmologist to explore things that could be related to the eye pain part, but you really need a reason for the swollen spleen, testicular pain and weight loss more than just a ct scan and blood work. Every city has what i call the "zebra" doctor. We have a saying that the thunder of hooves should be horses.

Need to examine: It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. It would be prudent to see your doctor. You may wish to start with a primary care provider who may refer you an appropriate specialist. Wish you good health!