Anonymous Monk,

You say you tried using Win32::OLE but you have not posted your code or explained what problems you are having. You also tell us that you don't have much exposure to the module, have you looked at the module documentation?
Also check out the Tutorials section of this site for some Win32::OLE examples.

You may find the module Win32::GuiTest helpful, you could use it to drive the Acrobat application via SendKeys etc.
If you read the module documentation I dont think it will take you too long to convert your VB to Perl using Win32::GuiTest.

Hope this helps.

Martin