Interesting use of color. The photo is a little washed out, so it's hard to see the tear. I wouldn't have noticed if it wasn't in the title. Also, her mouth almost looks as if it's about to smile rather than being in pain.
her face is washed out, the background is very distracting, doesn't really fit title b/c there is no tear there. I do like the concept though, mabey a little more work was needed though