Have you tried compiling the binaries yourself with the latest version of Perl which is 5.10.1.1007?
It's not all that hard - just follow the guide:
http://www.eqemulator.net/wiki/wikka.php?wakka=VS2008
Most of us have a slightly older version of Perl which is Perl 5.10.0.1004 which was discontinued. That may be why you are having a hard time using binaires you download instead of compile yourself.