I have written this quick and dirty hack for extracting the IDL from a TLB.
It uses the same (to the best of my knowledge) COM object that OLEVIEW.EXE uses.
/*
   Extract the IDL from a tlb file and print it to stdout.
   The tlb file is analysed by a COM object of type CLSID_ITypeLibViewer and 
   the extracted IDL is shown in a window created by the same object.
   This program extracts the IDL from that window.
   Usually Microsoft's OLEViewer (a.k.a. OLE/COM Object Viewer) registers a 
   COM object of that CLSID_ITypeLibViewer (for example inside a dll called 
   IViewers.Dll), I've tested it with:
   IVIEWERS.DLL "OLE/COM Object Interface Viewer" Version 6.0.6000.16384
   This software is provided "as-is," without any express or implied warranty.
*/
#define _CRT_SECURE_NO_WARNINGS
#include <Windows.h>
#include <atlbase.h>
#include <comdef.h>
#include <iostream>
#include <string>
#include <ctime>
const char IDL_window_name[] = "ITypeLib Viewer";
const IID   IID_IInterfaceViewer = { 0xfc37e5ba, 0x4a8e, 0x11ce, { 0x87, 0x0b, 
                                     0x08, 0x00, 0x36, 0x8d, 0x23, 0x02 } };
const CLSID CLSID_ITypeLibViewer = { 0x57efbf49, 0x4a8b, 0x11ce, { 0x87, 0x0b, 
                                     0x08, 0x00, 0x36, 0x8d, 0x23, 0x02 } };
#define RICHEDIT_CONTROL_ID 0xE901 // found by Spy++
#define RICHEDIT_PARENT_ID  0xE900 // found by Spy++
#define CHECK(hr) if ( FAILED(hr) ) { std::wcerr << L"COM error: " << stringify_hr(hr) << L"\n"; return __LINE__; }
std::string myself;
std::string tlb;
// My installation of Microsoft Visual Studio 2010 has a sample folder where 
// I can find the source of OleView:
// C:\Program Files (x86)\Microsoft Visual Studio 10.0\Samples\1033\VC2010Samples.zip
//
// Unzipping the file gives me the solution for Visual Studio 2010
// C++\MFC\ole\oleview\oleview.sln
// 
// The following declaration comes from that sample.
// The sample has also the source for the CLSID_ITypeLibViewer object but 
// unfortunately the method View is not implemented (the code in my sample says
// "Implement interface viewer UI here.").
DECLARE_INTERFACE_(IInterfaceViewer, IUnknown)
{
    STDMETHOD(QueryInterface) (THIS_ REFIID riid, LPVOID FAR* ppvObj) PURE;
    STDMETHOD_(ULONG,AddRef) (THIS) PURE;
    STDMETHOD_(ULONG,Release) (THIS) PURE;
    STDMETHOD(View) (HWND hwndParent, REFIID riid, LPUNKNOWN punk) PURE;
};
std::string replace_all( const char* txt, const std::string& old_s, const std::string& new_s );
std::string adapt( const char* txt );
std::string now();
std::wstring stringify_hr( HRESULT hr );
DWORD WINAPI scrape(LPVOID)
{
   HWND hwnd = 0;   
   int guard = 100;
   while( guard-- > 0 && (hwnd = ::FindWindowA(0,IDL_window_name)) == 0 ) {
      ::Sleep(100);
   }
   if ( guard <= 0 ) {
      std::cerr << "No window found with name '" << IDL_window_name << "'\n";
      return __LINE__;
   }
   guard = 100;
   const size_t sz = 100*1024;
   char text[sz];
   do {
      HWND parent_hwnd = ::GetDlgItem(hwnd,RICHEDIT_PARENT_ID);
      if ( parent_hwnd == 0 ) {
         ::SendMessage(hwnd,WM_CLOSE,0,0);
         std::cerr << "No parent with ID " << std::hex << "0x" 
                   << RICHEDIT_PARENT_ID << " found in window with name '" 
                   << IDL_window_name << "'\n";
         return __LINE__;
      }
      HWND richedit_hwnd = ::GetDlgItem(parent_hwnd,RICHEDIT_CONTROL_ID);
      if ( richedit_hwnd == 0 ) {
         ::SendMessage(hwnd,WM_CLOSE,0,0);
         std::cerr << "No richedit with ID " << std::hex << "0x" 
                   << RICHEDIT_CONTROL_ID << " found in window with name '" 
                   << IDL_window_name << "'\n";
         return __LINE__;
      }
      ::GetWindowTextA(richedit_hwnd,text,sz);
      ::Sleep(100);
   } while ( guard-- > 0 && strlen(text) == 0 );
   if ( guard <= 0 ) {
      ::SendMessage(hwnd,WM_CLOSE,0,0);
      std::cerr << "No IDL found in window with name '" 
                << IDL_window_name << "'\n";
      return __LINE__;
   }
   std::cout << "// IDL extracted from " << tlb << " by tlb2idl (" 
             << myself << ") on " << now() << "\n" << adapt(text);
   ::SendMessage(hwnd,WM_CLOSE,0,0);
   return 0;
}
int main(int argc, char* argv[])
{
   myself = argv[0];
   if ( argc <= 1 ) {
      std::cerr << "\nPrint to stdout the IDL extracted from file.tlb\n\nUsage:\n" 
                << myself << " file.tlb\n";
      return __LINE__;
   }
   DWORD exit_code = 0;
   CHECK( ::CoInitialize(0) );
   {
   CComPtr<ITypeLib> ptl;
   tlb = argv[1];
   CHECK( ::LoadTypeLib(std::wstring(tlb.begin(),tlb.end()).c_str(), &ptl) );
   CComPtr<IInterfaceViewer> piv;
   CHECK( ::CoCreateInstance( CLSID_ITypeLibViewer, NULL, CLSCTX_SERVER, 
                              IID_IInterfaceViewer, (void**)&piv ) );
   HANDLE th = ::CreateThread( 0, 0, scrape, 0, 0, 0 );
   CHECK( piv->View(0,IID_ITypeLib,ptl) );
   ::WaitForSingleObject(th,1000);
   ::GetExitCodeThread(th,&exit_code);
   }
   ::CoUninitialize();
   return exit_code;
}
std::string replace_all( const char* txt, const std::string& old_s, const std::string& new_s )
{
   std::string str(txt);
   size_t start_pos = 0;
   while((start_pos = str.find(old_s, start_pos)) != std::string::npos) {
      str.replace(start_pos, old_s.length(), new_s);
      start_pos += new_s.length(); 
   }
   return str;
}
std::string adapt( const char* txt )
{
   std::string str( replace_all(txt,"\r\n","\n") );
   return replace_all(str.c_str(),"\r","\n");
}
std::string now()
{
   time_t szClock;
   time( &szClock );
   struct tm *newTime = localtime( &szClock );
   return asctime( newTime ); 
}
std::wstring stringify_hr( HRESULT hr )
{
   return _com_error(hr).ErrorMessage();
}