utiliza las api's de windows
Private Declare Sub mouse_event Lib "user32" (ByVal dwFlags As Long, ByVal dx As Long, ByVal dy As Long, ByVal cButtons As Long, ByVal dwExtraInfo As Long)
Private Const MOUSEEVENTF_ABSOLUTE = &H8000
Private Const MOUSEEVENTF_LEFTDOWN = &H2
Private Const MOUSEEVENTF_LEFTUP = &H4
Private Const MOUSEEVENTF_MOVE = &H1
Private Const MOUSEEVENTF_MIDDLEDOWN = &H20
Private Const MOUSEEVENTF_MIDDLEUP = &H40
Private Const MOUSEEVENTF_RIGHTDOWN = &H8
Private Const MOUSEEVENTF_RIGHTUP = &H10
mouse_event MOUSEEVENTF_ABSOLUTE Or MOUSEEVENTF_MOVE, x, y
saludos