The ray of light peeking through the crack creates a blinding effect on the subject. The light is so bright that it blinds her vision, covering her eyes in the photo. The black and white filter makes the ray of light even more bright.
I really this image because of the shadow that the hand creates, this could mean and open your eyes to many reasons to be blocking the light from your face. I feel I could incorporate the blood into this image onto the hands, giving it my edge.